Individual provider Active NPI

Vincent Bernard Butcher Sr., MS, MRE, LPC

  • Mental Health Counselor
  • West Monroe, LA
National Provider Identifier
1295383404
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
420 Wheelis St
West Monroe, LA 71292-3940
Phone
(318) 556-8455
Fax
(318) 556-8456
NPI assigned
Aug 30, 2019
Reactivated
Nov 4, 2019
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X 8095 LA
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

420 Wheelis St
West Monroe, LA 71292-3940

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607000442 LA Practitioner - Mental Health Counselor 1355883190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8095LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. Counselor CurrentSince Jun 1, 2024 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Morehouse Community Medical Centers, Inc Past Accepting new patients
Morehouse Community Medical Centers, Inc. Professional Past Accepting new patients
Morehouse Community Medical Centers, Inc Past Accepting new patients
Morehouse Community Medical Centers, Inc Past Accepting new patients
Morehouse Community Medical Centers, Inc. Past Accepting new patients
Morehouse Community Medical Centers, Inc. Professional Past Accepting new patients
Morehouse Community Medical Centers, Inc. Mental Health Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

681 Highway 594
Monroe, LA 71203
Phone (318) 556-8454

801 Stubbs Ave
Ste C
Monroe, LA 71201
Phone (318) 509-8172

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

Interoperability endpoints

  • Direct secure messaging: vincent.butcher.1@11502.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1295383404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WHEELIS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712923940",
            "telephone_number": "318-556-8455",
            "fax_number": "318-556-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "VINCENT",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MS, MRE, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "deactivation_date": "2019-09-02",
        "reactivation_date": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8095",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.