GRACE BEHAVIORAL HEALTH LLC
NPI 1629577622
Nurse Practitioner - Psychiatric/Mental Health in Owensboro, KY

Active since February 05, 2018
100 W 3RD ST STE 305, OWENSBORO, KY 42303(270) 240-2320(270) 228-0573 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Grace Behavioral Health Llc NPPES

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

GRACE BEHAVIORAL HEALTH LLC (NPI 1629577622) is a healthcare organization registered as a psychiatric/mental health in Owensboro, Kentucky and active in the NPI registry since February 2018. The organization lists Amber Survant, Owner, as its authorized official.

NPPES Registry Identity

NPI1629577622
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGRACE BEHAVIORAL HEALTH LLC
Location Address100 W 3RD ST STE 305Owensboro, KY 42303-4129
Mailing Address100 W 3rd St Ste 305Owensboro, KY 42303-4129 · (270) 240-2320 · Fax (270) 228-0573
Fax(270) 228-0573
Organization SubpartNo
Authorized OfficialAmber SurvantOwner · (270) 240-2320
Enumeration DateFebruary 5, 2018
✔ NPI 1629577622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
100 W 3RD ST STE 305, Owensboro, KY 42303

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

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

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1679826143
100 W 3RD ST STE 305
Owensboro, KY 42303
(270) 240-2320
✔ PECOSSame address
Nurse Practitioner
NPI 1407371289
100 W 3RD ST STE 305
Owensboro, KY 42303
(270) 240-2320
✔ PECOSSame address

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 Grace Behavioral Health LLC's NPI number?

The NPI number for Grace Behavioral Health LLC is 1629577622. It was assigned to this organization in the NPPES registry on February 5, 2018.

Where is Grace Behavioral Health LLC located?

Grace Behavioral Health LLC is located at 100 W 3rd St Ste 305, Owensboro, KY 42303. The listed phone number is (270) 240-2320.

What is Grace Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Grace Behavioral Health LLC enrolled in Medicare?

Yes. Grace Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grace 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grace Behavioral Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Grace Behavioral Health 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 Grace Behavioral Health LLC was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.