Organization Active NPI

Brightside Behavioral LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1891156097
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTSIDE BEHAVIORAL LLC
Practice address
1651 Lobdell Avenue Suite 203-B
Baton Rouge, LA 70806
Phone
(225) 405-5861
Fax
(800) 570-9169
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Latrina Raddler, M.ED, LPC-S
Title
Owner
Phone
(225) 405-5861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1651 Lobdell Avenue Suite 203-B
Baton Rouge, LA 70806

Mailing address

1651 Lobdell Avenue Suite 203-B
Baton Rouge, LA 70806
Phone (225) 405-5861

National Provider Directory

National Provider Directory

Locations

1651 Lobdell Ave
Ste 203B
Baton Rouge, LA 70806
Phone (225) 405-5861

Practitioners & affiliated clinicians

Practitioners 1

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": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1891156097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 LOBDELL AVENUE SUITE 203-B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-405-5861",
            "fax_number": "800-570-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 LOBDELL AVENUE SUITE 203-B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-405-5861",
            "fax_number": "800-570-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "RADDLER",
        "authorized_official_first_name": "LATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-405-5861",
        "authorized_official_credential": "M.ED, LPC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jul 10, 2019; 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.