NPIMap

Organization Active NPI

Vital Transitions Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1528614625
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VITAL TRANSITIONS BEHAVIORAL HEALTHCARE INC.
Practice address
11745 Haymarket Ave
Baton Rouge, LA 70816-6010
Phone
(225) 412-7912
NPI assigned
Aug 14, 2019
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Antwanette Collins
Title
Chief Operating Officer
Phone
(225) 412-7912

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Assisted Living Facility (Mental Illness) 3104A0625X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

11745 Haymarket Ave
Baton Rouge, LA 70816-6010

Mailing address

11745 Haymarket Ave
Baton Rouge, LA 70816-6010
Phone (225) 412-7912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200303002482 LA Part B Supplier - Clinic/Group Practice 2769819705 Receives reassigned benefits from 3 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

4686 Groom Rd
Baker, LA 70714
Phone (225) 218-4444

4021 We Heck Ct
Baton Rouge, LA 70816
Phone (225) 302-5804

4021 We Heck Ct
Ste L1
Baton Rouge, LA 70816
Phone (225) 329-7703

17534 Old Jefferson Hwy
Ste C2
Prairieville, LA 70769
Phone (985) 400-1633

Practitioners & affiliated clinicians

Practitioners 11

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": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1528614625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11745 HAYMARKET AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166010",
            "telephone_number": "225-412-7912",
            "fax_number": "225-412-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745 HAYMARKET AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166010",
            "telephone_number": "225-412-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL TRANSITIONS BEHAVIORAL HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ANTWANETTE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "225-412-7912"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.