DIVINE HEALTH PSYCHOTHERAPY LLC
NPI 1609736933
Nurse Practitioner - Psychiatric/Mental Health in Long Beach, CA
About Divine Health Psychotherapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE HEALTH PSYCHOTHERAPY LLC (NPI 1609736933) is a healthcare organization registered as a psychiatric/mental health in Long Beach, California and active in the NPI registry since November 2025. The organization lists Future Ogbebor, Dnp, 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)
Divine Health Psychotherapy 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 Divine Health Psychotherapy 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 Divine Health Psychotherapy LLC's NPI number?
The NPI number for Divine Health Psychotherapy LLC is 1609736933. It was assigned to this organization in the NPPES registry on November 18, 2025.
Where is Divine Health Psychotherapy LLC located?
Divine Health Psychotherapy LLC is located at 3780 Kilroy Airport Way Ste 200, Long Beach, CA 90806. The listed phone number is (323) 571-7855.
What is Divine Health Psychotherapy LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Divine Health Psychotherapy LLC enrolled in Medicare?
Yes. Divine Health Psychotherapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Health Psychotherapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Health Psychotherapy 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 Divine Health Psychotherapy LLC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Divine Health Psychotherapy Llc · NPI 1609736933
Psychiatric/Mental Health organization in Long Beach, California. Organization record, active in the CMS NPPES registry since November 18, 2025.
## Identity
- **NPI:** 1609736933 (Entity type: Organization)
- **Enumerated:** November 18, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Future Ogbebor, DNP
## Practice location
- **Address:** 3780 KILROY AIRPORT WAY STE 200, Long Beach, CA 90806-2458
- **Phone:** (323) 571-7855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609736933) · Data from the CMS NPPES public registry.