Individual provider Active NPI

Brad Louis Sibille, MA, LPC-S

  • Professional Counselor
  • Opelousas, LA
National Provider Identifier
1891981791
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5048 Issued in LA
Practice address
333 S Main St
Opelousas, LA 70570-6137
Phone
(337) 945-1032
Fax
(337) 678-1893
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0008369 OH
Professional Counselor 101YP2500X 5048 LA Primary

Addresses

Primary practice location

333 S Main St
Opelousas, LA 70570-6137

Mailing address

333 S Main St
Opelousas, LA 70570-6137
Phone (337) 945-1032

Other identifiers 1

IdentifierTypeStateIssuer
3363691MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031002003 LA Practitioner - Mental Health Counselor 0941733786 Reassigns benefits to 1 organization
Practice locations: Opelousas, LA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Clxix LLCGroup PAC ID 8022436120, 5 clinicians

Practice addresses (Care Compare)

828 Creswell LN
Opelousas, LA 70570-5882
Phone (337) 948-1802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5048LAMDProfessional Counselor
0008369OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Acadian LLC Current Accepting new patients
CLHG-Acadian, LLC CurrentSince Feb 1, 2025 Accepting new patients
CLHG-Acadian LLC CurrentSince Feb 1, 2025 Accepting new patients
Brad Sibille LLC Professional CurrentSince Aug 31, 2024 Accepting new patients
Dr. Renee' Babin Bonin, L.L.C. PastSince Feb 28, 2010 Accepting new patients

Locations

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

3521 Highway 190
Ste T
Eunice, LA 70535
Phone (337) 457-8980

333 S Main St
Opelousas, LA 70570
Phone (337) 945-1032

Interoperability endpoints

  • Direct secure messaging: brad.sibille.1@27785.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1891981791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706137",
            "telephone_number": "337-945-1032",
            "fax_number": "337-678-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706137",
            "telephone_number": "337-945-1032",
            "fax_number": "337-678-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBILLE",
        "first_name": "BRAD",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "MA, LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0008369",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3363691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.