Jonathan D. Breaux, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14792 Issued in LA

Practice address

8714 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2002

Phone

(225) 771-9980

Fax

(225) 308-6084

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Behavioral Health Services

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Baton Rouge, LA
  • NPI 1093195141
  NPD
• Genesis Behavioral Health Services

  dba Holistic Solutions Clinic

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1588345201

  Clinical

  NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1013631118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 JEFFERSON HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092002",
            "telephone_number": "225-771-9980",
            "fax_number": "225-308-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 JEFFERSON HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092002",
            "telephone_number": "225-771-9980",
            "fax_number": "225-308-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JONATHAN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank W Breaux, MD
• Jack L. Breaux Jr., M.D.
• Jasmine Renee' Breaux, FNP-C
• Jeffrey Gerald Breaux, M.D.
• Jeryl Paul Breaux, M.D.
• Justin A Breaux, PT, DPT
• Kaitlyn Elizabeth Breaux, MD
• Kelly Nicole Breaux, MD
• Megan McIntosh Breaux, NP
• Michelle B Breaux, NP

• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.