Organization Active NPI

Doing Well Psychiatric Services, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Lafayette, LA
National Provider Identifier
1275102790
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
DOING WELL PSYCHIATRIC SERVICES, LLC
Practice address
218 Rue Beauregard
Lafayette, LA 70508-3284
Phone
(337) 484-1415
Fax
(337) 484-1416
NPI assigned
Jun 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Jeanea Brasseaux
Title
Office Manager/Biller
Phone
(337) 484-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X Primary

Addresses

Primary practice location

218 Rue Beauregard
Lafayette, LA 70508-3284

Mailing address

218 Rue Beauregard
Lafayette, LA 70508-3284
Phone (337) 484-1415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723001042 LA Part B Supplier - Clinic/Group Practice 9436552791 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

218 Rue Beauregard
Lafayette, LA 70508
Phone (337) 484-1415

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": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1275102790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RUE BEAUREGARD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083284",
            "telephone_number": "337-484-1415",
            "fax_number": "337-484-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RUE BEAUREGARD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083284",
            "telephone_number": "337-484-1415",
            "fax_number": "337-484-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOING WELL PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BRASSEAUX",
        "authorized_official_first_name": "JEANEA",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLER",
        "authorized_official_telephone_number": "337-484-1415"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.