TRI-STATE AREA BEHAVIORAL HEALTH LLC
NPI 1407561541
Counselor - Professional in Perryton, TX
About Tri-state Area Behavioral Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-STATE AREA BEHAVIORAL HEALTH LLC (NPI 1407561541) is a healthcare organization registered as a professional in Perryton, Texas and active in the NPI registry since January 2023. The organization lists Kathi Boren, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri-state Area Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tri-State Area Behavioral Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Tri-State Area Behavioral Health LLC's NPI number?
The NPI number for Tri-State Area Behavioral Health LLC is 1407561541. It was assigned to this organization in the NPPES registry on January 23, 2023.
Where is Tri-State Area Behavioral Health LLC located?
Tri-State Area Behavioral Health LLC is located at 1305 S Harvard St, Perryton, TX 79070. The listed phone number is (806) 202-8681.
What is Tri-State Area Behavioral Health LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tri-State Area Behavioral Health LLC enrolled in Medicare?
Yes. Tri-State Area Behavioral Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri-State Area Behavioral Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Tri-State Area Behavioral Health LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tri-State Area Behavioral Health LLC was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tri-State Area Behavioral Health Llc · NPI 1407561541
Professional organization in Perryton, Texas. Organization record, active in the CMS NPPES registry since January 23, 2023.
## Identity
- **NPI:** 1407561541 (Entity type: Organization)
- **Enumerated:** January 23, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Kathi Boren, SOLE MEMBER
## Practice location
- **Address:** 1305 S HARVARD ST, Perryton, TX 79070-4412
- **Phone:** (806) 202-8681
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407561541) · Data from the CMS NPPES public registry.