Beacon Behavioral Hospital New Orleans LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC

Practice address

3200 Ridgelake Dr Ste 100
Metairie, LA 70002-4959

Phone

(504) 581-4333

Fax

(504) 581-2812

NPI assigned

Feb 19, 2020

Organization subpart

Yes

Parent organization

BEACON BEHAVIORAL HOSPITAL NEW ORLEANS 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 3

Other names 1

• Beacon Behavioral Outpatient - Metairie Doing business as

Tax ID family

Beacon Behavioral Hospital-New Orleans LLC4 organizations share this tax ID, including this one

Part of

Beacon Behavioral Hospital-New Orleans LLC

Other organizations with this tax ID 3

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

• Beacon Behavioral Hospital - New Orleans LLC

  • Psychiatric Hospital
  • New Orleans, LA
  • NPI 1760437131
  NPD tax ID
• Beacon Behavioral Hospital New Orleans LLC

  • Substance Use Disorder Rehabilitation Hospital Unit
  • New Orleans, LA
  • NPI 1013547504
  NPD tax ID
• Beacon Behavioral Hospital New Orleans LLC

  • Mental Health Counselor
  • Slidell, LA
  • NPI 1477186351
  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": "1618185600000",
    "number": "1306479282",
    "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": "3200 RIDGELAKE DR STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024959",
            "telephone_number": "504-581-4333",
            "fax_number": "504-581-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05700076",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455181",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "194084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Behavioral Outpatient - Metairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bayou Orthotic and Prosthetic Center LLC
• Bayou Pulmonary LLC
• Karlene Allison Bazile, ABA BEHAVIOR TECH
• Bca Medical Wigs
• Beacon Behavioral Health-New Orleans Inc
• Beacon Behavioral Outpatient - Metairie LLC
• Kimberly Beal
• Jessica Holmes Beard, BCBA,LBA
• Michelle Beard, LCSW
• Angela B Beasley, LPC

• Mental Health Counselor in Metairie, LA
• Providers in Metairie, 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 Apr 12, 2021; 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.