Jared Brabham

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

234094 Issued in LA

Practice address

2651 E Napoleon St
Sulphur, LA 70663-3707

Phone

(337) 625-6750

Fax

(337) 625-6752

NPI assigned

Oct 29, 2019

Last updated

Nov 10, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imperial Calcasieu Human Services AuthorityGroup PAC ID 2860629839, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Imperial Calcasieu Human Services Authority

  dba ImCal BH Allen

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakdale, LA
  • NPI 1578601746
  Medicare reassignment Care Compare group NPD
• Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Lake Charles, LA
  • NPI 1720014186
  Medicare reassignment NPD
• Imperial Calcasieu Human Services Authority

  dba ImCal BH Sulphur

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sulphur, LA
  • NPI 1457822751
  NPD
• Imperial Calcasieu Human Services Authority

  dba ImCal BH Beauregard

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deridder, LA
  • NPI 1902944184
  NPD
• Swla Center for Health Services

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1366111791
  NPD
• Imperial Calcasieu Human Services Authority

  dba ImCal BH Lake Charles

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1952449118
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1134763576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-3100",
            "fax_number": "337-475-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E NAPOLEON ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633707",
            "telephone_number": "337-625-6750",
            "fax_number": "337-625-6752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Kirkman St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706074603",
            "country_code": "US",
            "telephone_number": "337-475-3100",
            "fax_number": "337-475-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017864",
            "country_code": "US",
            "telephone_number": "337-475-0324",
            "fax_number": "337-475-8917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Opelousas St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706012641",
            "country_code": "US",
            "telephone_number": "337-439-9983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRABHAM",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "LA",
            "license": "RN158835",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "234094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus A Boudreaux, FNP
• Molly Boudreaux, NP
• Marla Karr Bourgeois, RPH
• Madison Bourque, FNP-C
• Renee Bouzigard, LCSW
• Braud Family Practice, LLC
• Rebecca Braud, M.D.
• Ruth Elaine Brewer, NP
• Brian Lind Gamborg MD Apmc
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)

• Psychiatric/Mental Health Nurse Practitioner in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.