Organization Active NPI

Optimum Behavioral Health & Wellness LLC

  • Mental Health Counselor
  • West Monroe, LA
National Provider Identifier
1093604787
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPTIMUM BEHAVIORAL HEALTH & WELLNESS LLC
Practice address
116 Versailles Blvd
West Monroe, LA 71291-4009
Phone
(318) 465-5821
NPI assigned
Jun 30, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Robert W Willilams
Title
Coo
Phone
(318) 465-5821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

116 Versailles Blvd
West Monroe, LA 71291-4009

Mailing address

PO Box 135
West Monroe, LA 71294-0135
Phone (318) 314-1415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260406001269 LA Part B Supplier - Clinic/Group Practice 0648745927 Receives reassigned benefits from 2 practitioners
Practice locations: West Monroe, LA

National Provider Directory

National Provider Directory

Locations

117 Julia St
West Monroe, LA 71291

117 Julia St
Unit 10
West Monroe, LA 71291
Phone (318) 327-8596

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1093604787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712940135",
            "telephone_number": "318-314-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 VERSAILLES BLVD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914009",
            "telephone_number": "318-465-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "WILLILAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "318-465-5821"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.