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COVENANT BEHAVIORAL HEALTH LLC
NPI 1790494573
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since November 21, 2022
5656 LIBERTY MANOR CIR, WOODBRIDGE, VA 22193(571) 505-1775 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2023, Nov 21, 2022 (2 updates tracked since 2022).

About Covenant Behavioral Health Llc NPPES

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

COVENANT BEHAVIORAL HEALTH LLC (NPI 1790494573) is a healthcare organization registered as a psychiatric/mental health in Woodbridge, Virginia and active in the NPI registry since November 2022. The organization lists Catherine Nkeiruka Ben-agu, President, as its authorized official.

NPPES Registry Identity

NPI1790494573
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOVENANT BEHAVIORAL HEALTH LLC
Location Address5656 LIBERTY MANOR CIRWoodbridge, VA 22193-3279
Mailing Address5656 Liberty Manor CirWoodbridge, VA 22193-3279 · (571) 505-1775
Phone(571) 505-1775
Organization SubpartNo
Authorized OfficialCatherine Nkeiruka Ben-aguPresident · (571) 505-1775
Enumeration DateNovember 21, 2022
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1790494573 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
5656 LIBERTY MANOR CIR, Woodbridge, VA 22193
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Covenant Behavioral Health 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 Covenant Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Catherine Ben-Agu
Nurse Practitioner
NPI 1801402508
5656 LIBERTY MANOR CIR
Woodbridge, VA 22193
(571) 505-1775
✔ 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 Covenant Behavioral Health LLC's NPI number?

The NPI number for Covenant Behavioral Health LLC is 1790494573. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Covenant Behavioral Health LLC located?

Covenant Behavioral Health LLC is located at 5656 Liberty Manor Cir, Woodbridge, VA 22193. The listed phone number is (571) 505-1775.

What is Covenant 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 Covenant Behavioral Health LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Covenant Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Covenant 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Covenant Behavioral Health LLC was last updated on February 2, 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.