Divine Behavioral Health Services LLC
NPI 1619563186 · Psychiatric/Mental Health Nurse Practitioner · Renton, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Behavioral Health Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Renton, WA (NPI 1619563186).
Provider details
- NPI number
- 1619563186
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jane Nwankwookoye, Ceo(206) 290-3172
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 720 N 10th St Ste A399Renton, WA 98057-5683Phone: (206) 290-7385
- 212 Wells Ave S Ste BRenton, WA 98057-2142Phone: (206) 730-4404
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is Divine Behavioral Health Services LLC's NPI number?
- Divine Behavioral Health Services LLC's National Provider Identifier (NPI) is 1619563186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Behavioral Health Services LLC?
- Divine Behavioral Health Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Divine Behavioral Health Services LLC located?
- Divine Behavioral Health Services LLC's practice location on file with NPPES is 340 Morris Ave S, Renton, WA 98057-2521.
- What is Divine Behavioral Health Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Behavioral Health Services LLC is (206) 290-7385.
- Does Divine Behavioral Health Services LLC accept Medicare?
- Divine Behavioral Health Services 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 Divine Behavioral Health Services LLC?
- The authorized official listed on Divine Behavioral Health Services LLC's NPPES record is Jane Nwankwookoye, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Behavioral Health Services LLC's NPI active?
- Yes — Divine Behavioral Health Services LLC's NPI (1619563186) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.