Providence Behavioral Health LLC
NPI 1265131148 · Psychiatric/Mental Health Nurse Practitioner · Woodbridge, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Behavioral Health LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Woodbridge, VA (NPI 1265131148).
Provider details
- NPI number
- 1265131148
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mariah Eze, Owner(703) 950-9202
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-28
- Last updated
- 2023-10-26
- Certified
- 2023-10-23
Frequently asked questions
- What is Providence Behavioral Health LLC's NPI number?
- Providence Behavioral Health LLC's National Provider Identifier (NPI) is 1265131148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Behavioral Health LLC?
- Providence Behavioral Health LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Providence Behavioral Health LLC located?
- Providence Behavioral Health LLC's practice location on file with NPPES is 15262 Flintlock Ter, Woodbridge, VA 22191.
- What is Providence Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Behavioral Health LLC is (703) 950-9202.
- Does Providence Behavioral Health LLC accept Medicare?
- Providence Behavioral Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Behavioral Health LLC?
- The authorized official listed on Providence Behavioral Health LLC's NPPES record is Mariah Eze, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Behavioral Health LLC's NPI active?
- Yes — Providence Behavioral Health LLC's NPI (1265131148) is active in the NPPES registry as of the last update on 2023-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.