Active NPI
Northern Kentucky Behavioral, LLC
- Adolescent and Children Mental Health Clinic/Center
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Feb 23, 2015 in DE
- Enrollment address
- 820 Dolwick Dr
Erlanger, KY 41018-2774 - 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 Health
- Type
- Psychiatric
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- No
National Provider Directory
National Provider Directory- Tax ID family
- Northern Kentucky Behavioral LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- Erlanger, KY
- NPI 1417486325
-
- Psychiatry Physician
- Erlanger, KY
- NPI 1487570057
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sun Kentucky, LLC | 5% Or Greater Direct Ownership Interest | Apr 20, 2015 | 100% |
| Jason Staats | Corporate Officer | Apr 17, 2023 | |
| Corporate Director | Apr 17, 2023 | 100% | |
| W-2 Managing Employee | 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
- Cayla Raye Norris
- Kathyrn Norris, CSW
- North Lexington Urgent Treatment Associates PSC
- North Lexington Urgent Treatment Associates, PSC
- Northern Kentucky Behavioral, LLC
- Northern Kentucky Chiropractic
- Megan Northern
- Northpoint Senior Services Ky I LLC
- Northpoint SNF Operations LLC
- Dennis R. Northrip, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.