Individual provider Active NPI

Heidi Olivier

  • Social Worker
  • Broussard, LA
National Provider Identifier
1912666702
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
16079 Issued in LA
Practice address
109 Corinth Ave
Broussard, LA 70518-7417
Phone
(337) 849-0955
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16079 LA
Social Worker 104100000X 16079 LA Primary
Mental Health Counselor 101YM0800X 16079 LA

Addresses

Primary practice location

109 Corinth Ave
Broussard, LA 70518-7417

Mailing address

109 Corinth Ave
Broussard, LA 70518-7417
Phone (337) 849-0955

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
I20250402002262 LA Practitioner - Clinical Social Worker 6002339892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Center of Acadiana, LLCGroup PAC ID 9234646225, 2 clinicians

Practice addresses (Care Compare)

4023 Ambassador Caffery Pkwy
Suite 507
Lafayette, LA 70503-5268
Phone (337) 284-0820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Center of Acadiana, LLC Professional CurrentSince May 1, 2025 Accepting new patients

Locations

4023 Ambassador Caffery Pkwy
Ste 507
Lafayette, LA 70503
Phone (337) 284-0820

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1912666702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CORINTH AVE",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705187417",
            "telephone_number": "337-849-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CORINTH AVE",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705187417",
            "telephone_number": "337-849-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "16079",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "16079",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "16079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

Verify at the official NPI Registry.