CREDENCE BEHAVIORAL HEALTH PLLC
NPI 1912692096
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Lynchburg, VA

Active since April 06, 2023CLIA 49D2285037 · Waiver
115 WIGGINGTON RD, LYNCHBURG, VA 24502(434) 253-0212 Get Directions Write a Review

NPPES record last updated: June 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Credence Behavioral Health Pllc NPPES

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

CREDENCE BEHAVIORAL HEALTH PLLC (NPI 1912692096) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Lynchburg, Virginia and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Sanket Rajaram Dhat, Ceo And Founder, as its authorized official.

NPPES Registry Identity

NPI1912692096
Entity TypeOrganization
Primary Taxonomy2084B0040X
Legal Business NameCREDENCE BEHAVIORAL HEALTH PLLC
Location Address115 WIGGINGTON RDLynchburg, VA 24502-4619
Mailing Address14803 Forest Rd Unit 2452Forest, VA 24551-9052 · (434) 253-0212
Organization SubpartNo
Authorized OfficialSanket Rajaram DhatCeo And Founder · (217) 381-4633
Enumeration DateApril 6, 2023
Last NPPES UpdateJune 3, 20232 updates tracked since enumeration
NPPES CertifiedJune 3, 2023
✔ NPI 1912692096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084B0040X
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · Obesity MedicineTaxonomy 2084B0002X
115 WIGGINGTON RD, Lynchburg, VA 24502

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Credence Behavioral Health PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mental Health Counselor
NPI 1932865334
1892 GRAVES MILL RD UNIT A
Lynchburg, VA 24502
(434) 290-1157
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1093596959
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-3000
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1063794212
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts Medicare2.9 mi
Psychiatry
NPI 1164787701
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1427629559
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4645
✔ PECOS✔ Accepts Medicare2.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2285037

Credence Behavioral Health · Lynchburg, VA
Active · expires Jul 4, 2027
CLIA Number49D2285037
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorSanket R. Dhat
Laboratory Phone(217) 381-4633
Laboratory LocationCredence Behavioral Health115 Wiggington Road, Lynchburg, VA 24502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Credence Behavioral Health PLLC's NPI number?

The NPI number for Credence Behavioral Health PLLC is 1912692096. It was assigned to this organization in the NPPES registry on April 6, 2023.

Where is Credence Behavioral Health PLLC located?

Credence Behavioral Health PLLC is located at 115 Wiggington Rd, Lynchburg, VA 24502. The listed phone number is (434) 253-0212.

What is Credence Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Is Credence Behavioral Health PLLC enrolled in Medicare?

Yes. Credence Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Credence Behavioral Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Credence Behavioral Health PLLC. 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), Mental Health Counselor (1) and Psychiatry (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Credence Behavioral Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2285037) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Credence Behavioral Health PLLC was last updated on June 3, 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.