Organization Active NPI

Bright Bee-Havior Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1508581026
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIGHT BEE-HAVIOR HEALTH LLC
Practice address
50 S Pickett St Ste 221
Alexandria, VA 22304-7206
Phone
(703) 539-5411
Fax
(703) 621-1800
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Kedest Gebreselassie, PMHNP/FNPNPI 1265897391
Title
Owner/Member
Phone
(571) 338-2764

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

50 S Pickett St Ste 221
Alexandria, VA 22304-7206

Mailing address

16236 Chase Eagle Lane
Woodbridge, VA 22191
Phone (571) 338-2764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230316000265 VA Part B Supplier - Clinic/Group Practice 0042684953 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA
O20251217000378 DC Part B Supplier - Clinic/Group Practice 0042684953 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

50 S Pickett St
Ste 221
Alexandria, VA 22304
Phone (703) 751-7331

800 Corporate Dr
Ste 356
Stafford, VA 22554
Phone (571) 338-2764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1508581026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16236 CHASE EAGLE LANE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "571-338-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S PICKETT ST STE 221",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047206",
            "telephone_number": "703-539-5411",
            "fax_number": "703-621-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BEE-HAVIOR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "GEBRESELASSIE",
        "authorized_official_first_name": "KEDEST",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "571-338-2764",
        "authorized_official_credential": "PMHNP/FNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.