PROFESSIONAL BEHAVIORAL SUPPORT LLC
NPI 1174201545
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbus, OH

Q: What is Professional Behavioral Support LLC's NPI number?

The NPI number for Professional Behavioral Support LLC is 1174201545. It was assigned to this organization in the NPPES registry on July 6, 2023.

Q: What is Professional Behavioral Support LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since July 06, 2023

691 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229(614) 715-2154(614) 705-6577 Get Directions Write a Review

NPPES record last updated: December 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2023, Jul 6, 2023 (2 updates tracked since 2023).

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About Professional Behavioral Support Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL BEHAVIORAL SUPPORT LLC (NPI 1174201545) is a healthcare organization registered as a mental health (including community mental health center) in Columbus, Ohio and active in the NPI registry since July 2023. The organization lists Elieth Kokwesiga Kamala, Pschiatric Nurse Practictitioner, as its authorized official.

NPPES Registry Identity

NPI1174201545

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePROFESSIONAL BEHAVIORAL SUPPORT LLC

Location Address691 E DUBLIN GRANVILLE RDColumbus, OH 43229-3209

Mailing Address691 E Dublin Granville RdColumbus, OH 43229-3209 · (614) 574-1824 · Fax (614) 420-2229

Phone(614) 715-2154

Fax(614) 705-6577

Organization SubpartNo

Authorized OfficialElieth Kokwesiga KamalaPschiatric Nurse Practictitioner · (614) 574-1823

Enumeration DateJuly 6, 2023

Last NPPES UpdateDecember 9, 20232 updates tracked since enumeration

NPPES CertifiedDecember 9, 2023

✔ NPI 1174201545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

691 E DUBLIN GRANVILLE RD, Columbus, OH 43229

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Other Names 1

Doing Business AsProfessional Behavioral Support Llc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Behavioral Support Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Professional Behavioral Support LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Elieth Kamala

Nurse Practitioner

NPI 1639343007

691 E DUBLIN GRANVILLE RD
Columbus, OH 43229

(614) 574-1823

✔ PECOS✔ Accepts MedicareSame address

Norman Schwartz, MD

Family Practice

NPI 1255322335

621 BROAD ST SW 1E
Pataskala, OH 43062

(740) 927-5060

✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Behavioral Support LLC's NPI number?

The NPI number for Professional Behavioral Support LLC is 1174201545. It was assigned to this organization in the NPPES registry on July 6, 2023.

Where is Professional Behavioral Support LLC located?

Professional Behavioral Support LLC is located at 691 E Dublin Granville Rd, Columbus, OH 43229. The listed phone number is (614) 715-2154.

What is Professional Behavioral Support LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Professional Behavioral Support LLC enrolled in Medicare?

Yes. Professional Behavioral Support LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Behavioral Support LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Professional Behavioral Support LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Professional Behavioral Support LLC was last updated on December 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.