Brenna Lakaye Spillman, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1292 Issued in LA

Practice address

2116 N Bolton Ave
Alexandria, LA 71303-4405

Phone

(318) 445-1250

Fax

(318) 445-1493

NPI assigned

Oct 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Brenna Lakaye Nicholson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allen Outreach Inc.

  • Community/Behavioral Health Agency
  • Oakdale, LA
  • NPI 1124341425
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1649589771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034405",
            "telephone_number": "318-445-1250",
            "fax_number": "318-445-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034405",
            "telephone_number": "318-445-1250",
            "fax_number": "318-445-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLMAN",
        "first_name": "BRENNA",
        "middle_name": "LAKAYE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "01292",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENNA",
            "last_name": "NICHOLSON",
            "middle_name": "LAKAYE",
            "prefix": "MS.",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Special Care Services of Louisiana Inc (Precision Caregivers)
• Spectrum Products and Technology
• David Lee Spence, MD
• Sharon Elizabeth Spencer-Rose, LPC, LAC
• Sade Spillers
• Benjamin Ray Spruill, M.D.
• St Frances Nursing & Rehabilitation Center
• St Tammany Emergency Physicians Group LLC
• St. Genevive Health Care Services, Inc.
• St. Genevive Health Care Services, Inc.

• Addiction (Substance Use Disorder) Counselor in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.