Gregory Bonvillian

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

350 Main St
Baker, LA 70714-3767

Phone

(225) 778-6783

Fax

(225) 612-6602

NPI assigned

Nov 16, 2017

Last updated

Sep 29, 2026By 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

Practice roles

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.

• Inspirational Community Outreach LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baker, LA
  • NPI 1528463064
  NPD (past)

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1174037832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 COPPERWOOD DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266087",
            "telephone_number": "225-892-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN ST",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143767",
            "telephone_number": "225-778-6783",
            "fax_number": "225-612-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVILLIAN",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maisha Lashawn Beauchamp
• Cicella Lorine Benton, BACHELORS DEGREE
• Ashley Michelle Biagas
• Kayla Holliday Bibbins
• Jarrett Resean Blackmore
• Jerrie Miles Booker
• Andrea Monique Branch, M.ED
• Breitling Investment Company LLC
• Bridging the Gap Counseling & Consulting, LLC
• Brighter Beginnings Mentorship Program

• Mental Health Counselor in Baker, LA
• Providers in Baker, 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 Sep 29, 2026; 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.