NPIMap

Organization Active NPI

Beacon Behavioral Hospital LLC

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1891328787
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEACON BEHAVIORAL HOSPITAL LLC
Practice address
10425 Plaza Americana Dr
Baton Rouge, LA 70816-8188
Phone
(225) 810-4719
Fax
(225) 810-4722
NPI assigned
Feb 19, 2020
Organization subpart
Yes
Parent organization
BEACON BEHAVIORAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Authorized official

Name
Mr. Phillip Sean Wendell
Title
Ceo
Phone
(225) 810-4040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10425 Plaza Americana Dr
Baton Rouge, LA 70816-8188

Mailing address

4601 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9656
Phone (225) 810-4040

Other identifiers 2

IdentifierTypeStateIssuer
194102OtherMEDICARE
2184164MedicaidLA

Other names 1

  • Beacon Behavioral Outpatient - Baton Rouge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Behavioral Hospital LLC6 organizations share this tax ID, including this one
Part of
Beacon Behavioral Hospital LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1891328787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BLUEBONNET BLVD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099656",
            "telephone_number": "225-810-4040",
            "fax_number": "225-810-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 PLAZA AMERICANA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168188",
            "telephone_number": "225-810-4719",
            "fax_number": "225-810-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON BEHAVIORAL HOSPITAL INC",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-810-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "194102",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184164",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Behavioral Outpatient - Baton Rouge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Behavioral Outpatient - Baton Rouge",
            "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 Dec 24, 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.