Individual provider Active NPI

Brandon Perry

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1063907301
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9427 Issued in LA
Practice address
7855 Howell Blvd
Baton Rouge, LA 70807-5256
Phone
(225) 465-8104
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9427 LA
Case Manager/Care Coordinator 171M00000X LA
Professional Counselor 101YP2500X 9427 LA Primary

Addresses

Primary practice location

7855 Howell Blvd
Baton Rouge, LA 70807-5256

Mailing address

13675 Coursey Blvd Apt 1122
Baton Rouge, LA 70817-1357
Phone (318) 589-1839

Other identifiers 1

IdentifierTypeStateIssuer
171M00000X.MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310003802 LA Practitioner - Mental Health Counselor 2567945371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9516 Airline Hwy
Baton Rouge, LA 70815

9516 Airline Hwy
Baton Rouge, LA 70815-5501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9427LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HIV-AIDS Alliance for Region Two CurrentSince Feb 2, 2026 Accepting new patients
HIV-AIDS Alliance for Region Two CurrentSince Feb 2, 2026 Accepting new patients
Holistic Behavioral Health Services of Louisiana Case Manager/Care Coordinator PastSince Aug 1, 2021 Accepting new patients

Locations

9516 Airline Hwy
Baton Rouge, LA 70815
Phone (225) 424-1746

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1063907301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13675 COURSEY BLVD APT 1122",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171357",
            "telephone_number": "318-589-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075256",
            "telephone_number": "225-465-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "9427",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X.",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.