AVALON PSYCHIATRIC SERVICES LLC
NPI 1669066502
Nurse Practitioner - Psychiatric/Mental Health in Cincinnati, OH

Active since February 22, 2021
8044 MONTGOMERY RD STE 700, CINCINNATI, OH 45236(513) 277-9614(513) 436-1822 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2023, Mar 15, 2021, Feb 22, 2021 (3 updates tracked since 2021).

About Avalon Psychiatric Services Llc NPPES

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

AVALON PSYCHIATRIC SERVICES LLC (NPI 1669066502) is a healthcare organization registered as a psychiatric/mental health in Cincinnati, Ohio and active in the NPI registry since February 2021. The organization lists Kristie Yakura, Owner, as its authorized official.

NPPES Registry Identity

NPI1669066502
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAVALON PSYCHIATRIC SERVICES LLC
Location Address8044 MONTGOMERY RD STE 700Cincinnati, OH 45236-2926
Mailing Address8044 Montgomery Rd Ste 700Cincinnati, OH 45236-2926 · (513) 277-9614 · Fax (513) 436-1822
Fax(513) 436-1822
Organization SubpartNo
Authorized OfficialKristie YakuraOwner · (513) 277-9614
Enumeration DateFebruary 22, 2021
Last NPPES UpdateAugust 11, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2023
✔ NPI 1669066502 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
8044 MONTGOMERY RD STE 700, Cincinnati, OH 45236

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)

Avalon Psychiatric 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 Avalon Psychiatric Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1336403161
8044 MONTGOMERY RD STE 700
Cincinnati, OH 45236
(513) 277-9614
✔ PECOS✔ Accepts MedicareSame 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 Avalon Psychiatric Services LLC's NPI number?

The NPI number for Avalon Psychiatric Services LLC is 1669066502. It was assigned to this organization in the NPPES registry on February 22, 2021.

Where is Avalon Psychiatric Services LLC located?

Avalon Psychiatric Services LLC is located at 8044 Montgomery Rd Ste 700, Cincinnati, OH 45236. The listed phone number is (513) 277-9614.

What is Avalon Psychiatric Services LLC's specialty?

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

Is Avalon Psychiatric Services LLC enrolled in Medicare?

Yes. Avalon Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avalon Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Avalon Psychiatric 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 Avalon Psychiatric Services LLC accept?

Health plans from Molina Healthcare list Avalon Psychiatric 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 Avalon Psychiatric Services LLC was last updated on August 11, 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.