RELEAF BEHAVIORAL HEALTH AND WELLNESS CLINIC
NPI 1013759448
Nurse Practitioner - Psychiatric/Mental Health in Baton Rouge, LA

Active since June 07, 2024CLIA 19D2348720 · Waiver
4303 PLANK RD, BATON ROUGE, LA 70805(225) 384-6124 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Releaf Behavioral Health And Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RELEAF BEHAVIORAL HEALTH AND WELLNESS CLINIC (NPI 1013759448) is a healthcare organization registered as a psychiatric/mental health in Baton Rouge, Louisiana and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 10, 2028 and lists Daffaney Webster, Owner, as its authorized official.

NPPES Registry Identity

NPI1013759448
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRELEAF BEHAVIORAL HEALTH AND WELLNESS CLINIC
Location Address4303 PLANK RDBaton Rouge, LA 70805-4134
Mailing Address4303 Plank RdBaton Rouge, LA 70805-4134
Organization SubpartNo
Authorized OfficialDaffaney WebsterOwner · (225) 384-6124
Enumeration DateJune 7, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1013759448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4303 PLANK RD, Baton Rouge, LA 70805

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Releaf Behavioral Health And Wellness Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Releaf Behavioral Health And Wellness Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1265106405
4303 PLANK RD
Baton Rouge, LA 70805
(225) 384-6124
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2348720

Releaf Behavioral Health & Wellness Clinic · Baton Rouge, LA
Active · expires Aug 10, 2028
CLIA Number19D2348720
Laboratory TypePractitioner Other
Certificate Effective DateAugust 11, 2026
Certificate Expiration DateAugust 10, 2028
Laboratory DirectorDaffaney Webster
Laboratory Phone(225) 256-0352
Laboratory LocationReleaf Behavioral Health & Wellness Clinic4303 Plank Road, Baton Rouge, LA 70805
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Releaf Behavioral Health And Wellness Clinic's NPI number?

The NPI number for Releaf Behavioral Health And Wellness Clinic is 1013759448. It was assigned to this organization in the NPPES registry on June 7, 2024.

Where is Releaf Behavioral Health And Wellness Clinic located?

Releaf Behavioral Health And Wellness Clinic is located at 4303 Plank Rd, Baton Rouge, LA 70805. The listed phone number is (225) 384-6124.

What is Releaf Behavioral Health And Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Releaf Behavioral Health And Wellness Clinic enrolled in Medicare?

Yes. Releaf Behavioral Health And Wellness Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Releaf Behavioral Health And Wellness Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Releaf Behavioral Health And Wellness Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Releaf Behavioral Health And Wellness Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2348720) is associated with this NPI, valid through August 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Releaf Behavioral Health And Wellness Clinic was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.