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ARBOR VITAE BEHAVIORAL HEALTH, LLC
NPI 1790265692
Community/Behavioral Health in Lakeville, PA

Active since August 20, 2018
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438(570) 647-9277(570) 227-0084 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2023, Aug 20, 2018 (2 updates tracked since 2018).

About Arbor Vitae Behavioral Health, Llc NPPES

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

ARBOR VITAE BEHAVIORAL HEALTH, LLC (NPI 1790265692) is a healthcare organization registered as a community/behavioral health in Lakeville, Pennsylvania and active in the NPI registry since August 2018. The organization lists Kelly Sheridan Lawrence, Owner, as its authorized official.

NPPES Registry Identity

NPI1790265692
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameARBOR VITAE BEHAVIORAL HEALTH, LLC
Location Address1258 PURDYTOWN TPKELakeville, PA 18438-6793
Mailing Address1258 Purdytown TpkeLakeville, PA 18438-6793 · (570) 647-9277 · Fax (570) 227-0084
Phone(570) 647-9277
Fax(570) 227-0084
Organization SubpartNo
Authorized OfficialKelly Sheridan LawrenceOwner · (570) 647-9277
Enumeration DateAugust 20, 2018
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1790265692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1258 PURDYTOWN TPKE, Lakeville, PA 18438
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Arbor Vitae Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Zechariah Howard, MSN, CRNP
Nurse Practitioner
NPI 1134092117
1258 PURDYTOWN TPKE
Lakeville, PA 18438
(570) 647-9277
✔ PECOS✔ Accepts MedicareSame address
Kelly Lawrence, LPC, CRNP, PMHNP-BC
Nurse Practitioner
NPI 1902066996
1258 PURDYTOWN TPKE
Lakeville, PA 18438
(570) 647-9277
✔ PECOS✔ Accepts MedicareSame address
Tracy Rockefeller, CRNP
Nurse Practitioner
NPI 1346472057
1258 PURDYTOWN TPKE
Lakeville, PA 18438
(570) 647-9277
✔ PECOS✔ Accepts MedicareSame address
Toby Dennert
Mental Health Counselor
NPI 1023474475
3801 W 50TH ST STE 250B
Minneapolis, MN 55410
(612) 400-9685
✔ PECOS✔ Accepts Medicare944 mi

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 Arbor Vitae Behavioral Health, LLC's NPI number?

The NPI number for Arbor Vitae Behavioral Health, LLC is 1790265692. It was assigned to this organization in the NPPES registry on August 20, 2018.

Where is Arbor Vitae Behavioral Health, LLC located?

Arbor Vitae Behavioral Health, LLC is located at 1258 Purdytown Tpke, Lakeville, PA 18438. The listed phone number is (570) 647-9277.

What is Arbor Vitae Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Arbor Vitae Behavioral Health, LLC enrolled in Medicare?

Yes. Arbor Vitae Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arbor Vitae Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Arbor Vitae 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. The largest specialties are Nurse Practitioner (3) and Mental Health Counselor (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Arbor Vitae Behavioral Health, LLC was last updated on June 30, 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.