Organization Active NPI

Reverence Behavioral Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warrenville, IL
National Provider Identifier
1285387431
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
REVERENCE BEHAVIORAL HEALTH SERVICES LLC
Practice address
28375 Davis Pkwy Ste 903
Warrenville, IL 60555-3030
Phone
(312) 471-1639
Fax
(331) 204-0806
NPI assigned
Jan 28, 2022
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Mr. Akwetey Mensah Akrong, PMHNP-BCNPI 1275824484
Title
Owner
Phone
(630) 864-5775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

28375 Davis Pkwy Ste 903
Warrenville, IL 60555-3030

Mailing address

539 Roosevelt Rd # 1050
Glen Ellyn, IL 60137-5734
Phone (630) 864-5775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828001067 IL Part B Supplier - Clinic/Group Practice 3779961834 Receives reassigned benefits from 2 practitioners
Practice locations: Warrenville, IL

National Provider Directory

National Provider Directory

Locations

539 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 384-9757

1415 W 22nd St
Ofc 6
Oak Brook, IL 60523
Phone (312) 471-1639

28375 Davis Pkwy
Ste 903
Warrenville, IL 60555
Phone (312) 376-1767

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1285387431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 ROOSEVELT RD # 1050",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375734",
            "telephone_number": "630-864-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28375 DAVIS PKWY STE 903",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553030",
            "telephone_number": "312-471-1639",
            "fax_number": "331-204-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "AKRONG",
        "authorized_official_first_name": "AKWETEY",
        "authorized_official_middle_name": "MENSAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-864-5775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.