Divine Behavioral Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DIVINE BEHAVIORAL HEALTH SERVICES LLC

Practice address

340 Morris Ave S
Renton, WA 98057-2521

Phone

(206) 290-7385

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Jane Nwankwookoye, ARNPNPI 1013574243

Title

Ceo

Phone

(206) 290-3172

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Jane Nwankwookoye, ARNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Renton, WA
  • NPI 1013574243
  Medicare reassignment NPD Authorized official
• Kevin Alexander Cantos, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Renton, WA
  • NPI 1790550606
  NPD (past)

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1619563186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 10TH ST STE A399",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575683",
            "telephone_number": "206-290-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MORRIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572521",
            "telephone_number": "206-290-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Wells Ave S Ste B",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980572142",
            "country_code": "US",
            "telephone_number": "206-730-4404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 N 10th St Ste A399",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980575683",
            "country_code": "US",
            "telephone_number": "206-290-7385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "NWANKWOOKOYE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-290-3172",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": 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": []
}

• Sarah C Dinkel, SLP
• Josephine Janine Dion, MS, CCC-SLP
• Megan Aileen Dippe, PA-C
• Christopher A Dire, MD
• Sundus Dirie
• Divine Home Health Care, LLC
• Anh-CHI DO, MD
• Lien Thibich DO, PHARMD
• Tony Hieu Thanh DO, ARNP, FNP-BC
• Doc Robin D PS

• Psychiatric/Mental Health Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.