SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC.
NPI 1790773620
Community/Behavioral Health in Willcox, AZ
About Southeastern Arizona Behavioral Health Service, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC. (NPI 1790773620) is a healthcare organization registered as a community/behavioral health in Willcox, Arizona and active in the NPI registry since October 2005. The organization lists Kathy Guzman Wells, Evp/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 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)
Southeastern Arizona Behavioral Health Service, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Southeastern Arizona Behavioral Health Service, Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (18)
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 Southeastern Arizona Behavioral Health Service, Inc.'s NPI number?
The NPI number for Southeastern Arizona Behavioral Health Service, Inc. is 1790773620. It was assigned to this organization in the NPPES registry on October 13, 2005. The provider is also known as SEABHS Willcox Outpatient.
Where is Southeastern Arizona Behavioral Health Service, Inc. located?
Southeastern Arizona Behavioral Health Service, Inc. is located at 404 W Rex Allen Dr, Willcox, AZ 85643. The listed phone number is (520) 384-2521.
What is Southeastern Arizona Behavioral Health Service, Inc.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Southeastern Arizona Behavioral Health Service, Inc. enrolled in Medicare?
Yes. Southeastern Arizona Behavioral Health Service, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Arizona Behavioral Health Service, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Southeastern Arizona Behavioral Health Service, Inc.. 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 (13), Psychiatry (4) and Mental Health Counselor (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeastern Arizona Behavioral Health Service, Inc. accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Southeastern Arizona Behavioral Health Service, Inc. 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 Southeastern Arizona Behavioral Health Service, Inc. was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southeastern Arizona Behavioral Health Service, Inc. · NPI 1790773620
Community/Behavioral Health organization in Willcox, Arizona. Organization record, active in the CMS NPPES registry since October 13, 2005.
## Identity
- **NPI:** 1790773620 (Entity type: Organization)
- **Enumerated:** October 13, 2005
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** SEABHS Willcox Outpatient (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kathy Wells, EVP/COO
## Practice location
- **Address:** 404 W REX ALLEN DR, Willcox, AZ 85643-1120
- **Phone:** (520) 384-2521 · **Fax:** (520) 384-0543
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Psychiatry (4), Mental Health Counselor (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2025
- **Other identifiers:** Medicaid 082893 (AZ); Other OTC-6143 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1790773620) · Data from the CMS NPPES public registry.