Organization Active NPI

Northern Kentucky Behavioral, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lexington, KY
National Provider Identifier
1245978089
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NORTHERN KENTUCKY BEHAVIORAL, LLC
Practice address
350 N Limestone
Lexington, KY 40508-1871
Phone
(859) 912-7670
Fax
(859) 245-4393
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tom E Rourke, LCSW
Title
Senior Vice President Corporate Dev
Phone
(972) 467-4461

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

350 N Limestone
Lexington, KY 40508-1871

Mailing address

PO Box 4394
Brick, NJ 08723-1594
Phone (737) 471-1800

Other practice location 1

360 Mount Sterling Rd
Winchester, KY 40391-1528
Phone (502) 732-7074

Other practice location 2

1706 Highland Ave
Carrollton, KY 41008-8775
Phone (502) 732-7112

Other names 1

  • SUN Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180321001740 KY Part A Provider - Hospital 8527320027 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carrollton, KY; Erlanger, KY; Lexington, KY; Winchester, KY

Hospital certification: CCN 184006

Legal name
NORTHERN KENTUCKY BEHAVIORAL LLC
Doing business as
SUN BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 14, 1978
Last certification
Feb 21, 2020
Beds
197
Ownership / control type
Private (for profit)
Most recent change of ownership
Feb 20, 2018 (3 total)
Organization structure
LLCProprietary
Incorporated
Feb 23, 2015 in DE
Enrollment address
820 Dolwick Dr
Erlanger, KY 41018-2774
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sun Behavioral HealthCCN 184006
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Northern Kentucky Behavioral LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2335 Sterlington Rd
Lexington, KY 40517
Phone (502) 545-9585

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sun Kentucky, LLC Organization, Red Bank, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 20, 2015 100%
Jason Staats Individual Corporate OfficerCeo Apr 17, 2023
Corporate DirectorCeo Apr 17, 2023 100%
W-2 Managing EmployeeCeo Apr 17, 2023 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1245978089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4394",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087231594",
            "telephone_number": "737-471-1800",
            "fax_number": "732-747-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081871",
            "telephone_number": "859-912-7670",
            "fax_number": "859-245-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Mount Sterling Rd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911528",
            "country_code": "US",
            "telephone_number": "502-732-7074",
            "fax_number": "502-732-7012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410088775",
            "country_code": "US",
            "telephone_number": "502-732-7112",
            "fax_number": "859-245-4349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "ROURKE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT CORPORATE DEV",
        "authorized_official_telephone_number": "972-467-4461",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.