BLUEWATER BEHAVIORAL HEALTH INC
NPI 1922562628
Nurse Practitioner - Psychiatric/Mental Health in Niceville, FL
NPI Status: Active since January 27, 2019
Contact Information
4400 E HIGHWAY 20 STE 208
NICEVILLE, FL
ZIP 32578
Phone: (575) 520-1230
Fax: (773) 492-8765
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- CLIA Number: 10D2276299
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 02-06-2027
About BLUEWATER BEHAVIORAL HEALTH INC
This page provides the complete NPI Profile along with additional information for Bluewater Behavioral Health Inc, a provider established in Niceville, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1922562628 assigned on January 2019. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Leigh Gayle Powers Dnp, Aprn, Pmhnp-bc (Owner/provider)
- NPI
- 1922562628
- Provider Name
- BLUEWATER BEHAVIORAL HEALTH INC
- Entity Type
- Organization
- Location Address
- 4400 E HIGHWAY 20 STE 208 NICEVILLE, FL 32578
- Location Phone
- (575) 520-1230
- Location Fax
- (773) 492-8765
- Mailing Address
- 4400 E HIGHWAY 20 STE 208 NICEVILLE, FL 32578
- Mailing Phone
- (850) 797-2598
- Mailing Fax
- (773) 492-8765
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2019
- Last Update Date
- 06-05-2026
- Code Navigator
A nurse practitioner (NP) like Bluewater Behavioral Health Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 4400 E Highway 20 Ste 306
Niceville, FL 32578
(850) 797-2598 - 907 Mar Walt Dr Ste 2013
Fort Walton Beach, FL 32547
(850) 797-9438
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2276299
- Facility Type
- Practitioner Other
- Certificate Effective Date
- February 07, 2025
- Certificate Expiration Date
- February 06, 2027
- Laboratory Director
- LEIGH G. POWERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bluewater Behavioral Health Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922562628, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
NICEVILLE, FL 32578
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922562628, enumerated as an "organization" on January 27, 2019.
The provider is located at 4400 E HIGHWAY 20 STE 208 NICEVILLE, FL 32578 and the phone number is (575) 520-1230.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
