Organization Active NPI

Integrated Wellness Clinic of Louisiana, LLC

Doing business as Integrated Wellness Clinic

  • Counselor
  • Baton Rouge, LA
National Provider Identifier
1548602097
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
INTEGRATED WELLNESS CLINIC OF LOUISIANA, LLC
Doing business as
Integrated Wellness Clinic
Practice address
10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone
(252) 924-1910
Fax
(225) 924-1988
NPI assigned
Jul 25, 2013
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Wendy Chapman
Title
Business Operations
Phone
(225) 900-8923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264

Mailing address

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (252) 924-1910

Other identifiers 1

IdentifierTypeStateIssuer
2461084MedicaidLA

Other names 1

  • Integrated Wellness Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718003006 LA Part B Supplier - Clinic/Group Practice 2961759121 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

10473 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 900-8943

Practitioners & affiliated clinicians

Practitioners 3

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": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1548602097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10473 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "252-924-1910",
            "fax_number": "225-924-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10473 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "252-924-1910",
            "fax_number": "225-924-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS CLINIC OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "225-900-8923"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461084",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 2026; 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.