Organization Active NPI

The Behavioral Health and Wellness Academy

  • Clinical Psychologist
  • Lancaster, PA
National Provider Identifier
1992219588
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017030 Issued in PA
Legal business name
THE BEHAVIORAL HEALTH AND WELLNESS ACADEMY
Practice address
1725 Oregon Pike
Lancaster, PA 17601-4206
Phone
(717) 810-1974
Fax
(717) 704-8476
NPI assigned
Nov 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Dr. McKenzie Walker, PSYDNPI 1306025887
Title
Owner/Chief Clinical Officer
Phone
(717) 810-1974

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS017030 PA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

1725 Oregon Pike
Lancaster, PA 17601-4206

Mailing address

600 Shirley Dr
Lebanon, PA 17042-7652
Phone (717) 810-1974

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@thebhwa.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180410002219 PA Part B Supplier - Clinic/Group Practice 3274896949 Receives reassigned benefits from 4 practitioners
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

527 W Chocolate Ave
Hershey, PA 17033
Phone (717) 269-6642

48 N Queen St
#2
Lancaster, PA 17603
Phone (717) 810-1974

853 Oak St
Lebanon, PA 17042
Phone (717) 810-1974

1349 Cumberland St
Lebanon, PA 17042
Phone (717) 269-6642

701 Cumberland St
Lebanon, PA 17042
Phone (717) 810-1974

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1992219588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SHIRLEY DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427652",
            "telephone_number": "717-810-1974",
            "fax_number": "717-704-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014206",
            "telephone_number": "717-810-1974",
            "fax_number": "717-704-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIORAL HEALTH AND WELLNESS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER/CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "717-810-1974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017030",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@thebhwa.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1725 Oregon Pike",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176014206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.