Active NPI
Breyana J Wheeler, PLPX
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1629720099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- PLC8933
- Practice address
- 8416 Cumberland PL
Baton Rouge, LA 70806-6543 - Phone
- (225) 408-6060
- Fax
- (225) 408-7410
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PLC8933 | LA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PLC8933 | LA | |
| Mental Health Counselor | 101YM0800X | PLC8933 | LA | |
| Case Manager/Care Coordinator | 171M00000X | PLC8933 | LA | Primary |
Addresses
Primary practice location
8416 Cumberland PL
Baton Rouge, LA 70806-6543
Mailing address
8416 Cumberland PL
Baton Rouge, LA 70806-6543
Phone (225) 408-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC8933 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intentional Mind Counseling, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Baton Rouge, LA
- NPI 1801747597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1629720099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8416 CUMBERLAND PL",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066543",
"telephone_number": "225-408-6060",
"fax_number": "225-408-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8416 CUMBERLAND PL",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066543",
"telephone_number": "225-408-6060",
"fax_number": "225-408-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "BREYANA",
"middle_name": "J",
"credential": "PLPX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "PLC8933",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "PLC8933",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC8933",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "PLC8933",
"primary": true
}
],
"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 Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.