BEACON BEHAVIORAL OUTPATIENT - OPELOUSAS
NPI 1104459064
Counselor - Mental Health in Opelousas, LA
NPI Status: Active since February 19, 2020
Contact Information
5620 I 49 N SERVICE RD STE 11
OPELOUSAS, LA
ZIP 70570
Phone: (337) 678-3611
Fax: (337) 678-3599
- Organization
- Counselor
- Mental Health
- CLIA Number: 19D2204279
- CLIA Cert. Type: Other - OUTPATIENT BEHAVIORAL HEA
- CLIA Exp. Date: 12-07-2026
About BEACON BEHAVIORAL OUTPATIENT - OPELOUSAS
This page provides the complete NPI Profile along with additional information for Beacon Behavioral Outpatient - Opelousas, a provider established in Opelousas, Louisiana operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1104459064 assigned on February 2020. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Beacon Behavioral Outpatient - Opelousas operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Beacon Behavioral Outpatient - Opelousas. The authorized official of this NPI record is Mr. Phillip Sean Wendell (Ceo)
- NPI
- 1104459064
- Provider Legal Name
- SPRINGLAKE BEHAVIORAL HEALTH BUNKIE LLC
- Other Organization Name
- BEACON BEHAVIORAL OUTPATIENT - OPELOUSAS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5620 I 49 N SERVICE RD STE 11 OPELOUSAS, LA 70570
- Location Phone
- (337) 678-3611
- Location Fax
- (337) 678-3599
- Mailing Address
- 4601 BLUEBONNET BLVD STE B BATON ROUGE, LA 70809
- Mailing Phone
- (225) 810-4040
- Mailing Fax
- (337) 678-3599
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-19-2020
- Last Update Date
- 12-24-2020
- Code Navigator
A mental health counselor like Beacon Behavioral Outpatient - Opelousas provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2700227 | MEDICAID (05) | LA | |
| 194112 | OTHER (01) | MEDICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2204279
- Facility Type
- Other - OUTPATIENT BEHAVIORAL HEA
- Certificate Effective Date
- December 08, 2024
- Certificate Expiration Date
- December 07, 2026
- Laboratory Director
- TABATHA GOLDING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beacon Behavioral Outpatient - Opelousas to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 5 | 9 | 0 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 5 | 18 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 5 + 1 + 8 + 0 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1104459064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104459064, enumerated in the NPI registry as an "organization" on February 19, 2020
The provider is located at 5620 I 49 N Service Rd Ste 11 Opelousas, La 70570 and the phone number is (337) 678-3611
This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 19D2204279 for a "other - outpatient behavioral hea" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 19, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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