Provisionii Behaviorial Health LLC
NPI 1306710850 · Mental Health Clinic/Center (Including Community Mental Health Center) · Peoria, IL
Provisionii Behaviorial Health LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Peoria, IL (NPI 1306710850).
Provider details
- NPI number
- 1306710850
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Russell, Founder & Ceo(309) 223-4171
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-09-29
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Frequently asked questions
- What is Provisionii Behaviorial Health LLC's NPI number?
- Provisionii Behaviorial Health LLC's National Provider Identifier (NPI) is 1306710850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provisionii Behaviorial Health LLC?
- Provisionii Behaviorial Health LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Provisionii Behaviorial Health LLC located?
- Provisionii Behaviorial Health LLC's practice location on file with NPPES is 820 Sw Adams St, Peoria, IL 61602-1623.
- What is Provisionii Behaviorial Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Provisionii Behaviorial Health LLC is (309) 223-4171.
- Who is the authorized official for Provisionii Behaviorial Health LLC?
- The authorized official listed on Provisionii Behaviorial Health LLC's NPPES record is Brandon Russell, Founder & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provisionii Behaviorial Health LLC's NPI active?
- Yes — Provisionii Behaviorial Health LLC's NPI (1306710850) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.