BLUEWATER BEHAVIORAL HEALTH INC
NPI 1922562628
Nurse Practitioner - Psychiatric/Mental Health in Niceville, FL

Active since January 27, 2019CLIA 10D2276299 · Waiver
4400 E HIGHWAY 20 STE 208, NICEVILLE, FL 32578(575) 520-1230(773) 492-8765 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Mar 4, 2026, Jul 7, 2025 and 2 more (5 updates tracked since 2019).

About Bluewater Behavioral Health Inc NPPES

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

BLUEWATER BEHAVIORAL HEALTH INC (NPI 1922562628) is a healthcare organization registered as a psychiatric/mental health in Niceville, Florida and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 6, 2027, maintains 2 additional practice locations, and lists Leigh Gayle Powers, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1922562628
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLUEWATER BEHAVIORAL HEALTH INC
Location Address4400 E HIGHWAY 20 STE 208Niceville, FL 32578-9735
Mailing Address4400 E Highway 20 Ste 208Niceville, FL 32578-9735 · (850) 797-2598 · Fax (773) 492-8765
Fax(773) 492-8765
Organization SubpartNo
Authorized OfficialLeigh Gayle PowersOwner/provider · (850) 797-2598
Enumeration DateJanuary 27, 2019
Last NPPES UpdateJune 5, 20265 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1922562628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4400 E HIGHWAY 20 STE 208, Niceville, FL 32578

Secondary Practice Locations 2

Location 1907 Mar Walt Dr Ste 2013Fort Walton Beach, FL 32547-6756 · Phone (850) 797-9438 · Fax (773) 492-8765
Location 24400 E Highway 20 Ste 306Niceville, FL 32578-7703 · Phone (850) 797-2598 · Fax (773) 492-8765

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 10D2276299

Bluewater Behavioral Health Inc · Ft Walton Beach, FL
Active · expires Feb 6, 2027
CLIA Number10D2276299
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorLeigh G. Powers
Laboratory Phone(850) 797-2598
Laboratory LocationBluewater Behavioral Health Inc907 Mar Walt Drive Suite #2013, Ft Walton Beach, FL 32547
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4400 E HIGHWAY 20 STE 208
NICEVILLE, FL 32578

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 Bluewater Behavioral Health Inc's NPI number?

The NPI number for Bluewater Behavioral Health Inc is 1922562628. It was assigned to this organization in the NPPES registry on January 27, 2019.

Where is Bluewater Behavioral Health Inc located?

Bluewater Behavioral Health Inc is located at 4400 E Highway 20 Ste 208, Niceville, FL 32578. The listed phone number is (575) 520-1230.

What is Bluewater Behavioral Health Inc's specialty?

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

Does Bluewater Behavioral Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2276299) is associated with this NPI, valid through February 6, 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 Bluewater Behavioral Health Inc was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.