DIVINE BEHAVIORAL HEALTH SERVICES LLC
NPI 1619563186
Nurse Practitioner - Psychiatric/Mental Health in Renton, WA
About Divine Behavioral Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE BEHAVIORAL HEALTH SERVICES LLC (NPI 1619563186) is a healthcare organization registered as a psychiatric/mental health in Renton, Washington and active in the NPI registry since December 2020. The organization maintains 2 additional practice locations and lists Jane Nwankwookoye, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Locations 2
Accepted Insurance
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 Behavioral Health Services 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 Behavioral Health Services 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 Behavioral Health Services LLC's NPI number?
The NPI number for Divine Behavioral Health Services LLC is 1619563186. It was assigned to this organization in the NPPES registry on December 17, 2020.
Where is Divine Behavioral Health Services LLC located?
Divine Behavioral Health Services LLC is located at 340 Morris Ave S, Renton, WA 98057. The listed phone number is (206) 290-7385.
What is Divine Behavioral Health Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Divine Behavioral Health Services LLC enrolled in Medicare?
Yes. Divine Behavioral Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Behavioral Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Behavioral Health Services 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.
What insurance does Divine Behavioral Health Services LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Divine Behavioral Health Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Divine Behavioral Health Services LLC was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 Behavioral Health Services Llc · NPI 1619563186
Psychiatric/Mental Health organization in Renton, Washington. Organization record, active in the CMS NPPES registry since December 17, 2020.
## Identity
- **NPI:** 1619563186 (Entity type: Organization)
- **Enumerated:** December 17, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jane Nwankwookoye, CEO
## Practice location
- **Address:** 340 MORRIS AVE S, Renton, WA 98057-2521
- **Phone:** (206) 290-7385
## 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:** October 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619563186) · Data from the CMS NPPES public registry.