Organization Active NPI

Hebert Mental Health LLC

  • Psychiatry Physician
  • Breaux Bridge, LA
National Provider Identifier
1871122838
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEBERT MENTAL HEALTH LLC
Practice address
606 Latiolais Dr
Breaux Bridge, LA 70517-4231
Phone
(337) 442-6254
Fax
(337) 442-6112
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Jace Hebert, MDNPI 1730533761
Title
Psychiatrist
Phone
(337) 789-9329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

606 Latiolais Dr
Breaux Bridge, LA 70517-4231

Mailing address

4400 Ambassador Caffery Pkwy
Ste a 268
Lafayette, LA 70508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200616001176 LA Part B Supplier - Clinic/Group Practice 0840612115 Receives reassigned benefits from 1 practitioner
Practice locations: New Iberia, LA; Lecompte, LA; Lafayette, LA; Crowley, LA; Church Point, LA; Breaux Bridge, LA

National Provider Directory

National Provider Directory

Locations

606 Latiolais Dr
Breaux Bridge, LA 70517
Phone (337) 332-4808

4400 Ambassador Caffery Pkwy
Ste A268
Lafayette, LA 70508

1542 Tulane Ave
Fl 2
New Orleans, LA 70112
Phone (504) 568-6004

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1871122838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE A 268",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LATIOLAIS DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174231",
            "telephone_number": "337-442-6254",
            "fax_number": "337-442-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBERT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "JACE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "337-789-9329",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.