Beacon Behavioral Hospital LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEACON BEHAVIORAL HOSPITAL LLC

Doing business as

Beacon Behavioral Outpatient - Hammond

Practice address

42382 Deluxe PLZ Ste 34
Hammond, LA 70403-1236

Phone

(985) 956-7378

Fax

(985) 956-7381

NPI assigned

Feb 19, 2020

Last updated

Dec 24, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BEACON BEHAVIORAL HOSPITAL LLCAs reported in NPPES

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

Authorized official

Name

Mr. Phillip Sean Wendell

Title

Ceo

Phone

(225) 810-4040

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Beacon Behavioral Outpatient - Hammond Doing business as

Tax ID family

Beacon Behavioral Hospital LLC6 organizations share this tax ID, including this one

Part of

Beacon Behavioral Hospital LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Beacon Behavioral Hospital LLC

  dba Beacon Behavioral Outpatient - Lutcher

  • Mental Health Counselor
  • Lutcher, LA
  • NPI 1386277283
  NPD tax ID
• Beacon Behavioral Hospital LLC

  dba Beacon Behavioral Outpatient - Houma

  • Mental Health Counselor
  • Houma, LA
  • NPI 1578196424
  NPD tax ID
• Beacon Behavioral Hospital LLC

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Lutcher, LA
  • NPI 1811579980
  NPD tax ID
• Beacon Behavioral Hospital LLC

  dba Beacon Behavioral Outpatient - Lutcher

  • Psychiatric Hospital
  • Lutcher, LA
  • NPI 1881996940
  NPD tax ID
• Beacon Behavioral Hospital LLC

  dba Beacon Behavioral Outpatient - Baton Rouge

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1891328787
  NPD tax ID

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1114550001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BLUEBONNET BLVD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099656",
            "telephone_number": "225-810-4040",
            "fax_number": "225-810-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42382 DELUXE PLZ STE 34",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031236",
            "telephone_number": "985-956-7378",
            "fax_number": "985-956-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON BEHAVIORAL HOSPITAL LLC",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-810-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "194102",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184164",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Behavioral Outpatient - Hammond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Behavioral Outpatient - Hammond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lucinda Lozier Beacham, LCSW
• William Felder Beacham, M.D.
• Beacon Behavioral Outpatient - Hammond LLC
• Ashton Leigh Beall
• Emmy Beatty, CRNA
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• Joshua Don Beaver, D.D.S.

• Mental Health Counselor in Hammond, LA
• Providers in Hammond, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.