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BEACON BEHAVIORAL OUTPATIENT - OPELOUSAS
NPI 1104459064
Counselor - Mental Health in Opelousas, LA

Active since February 19, 2020CLIA Certified · 2 labs
5620 I 49 N SERVICE RD STE 11, OPELOUSAS, LA 70570(337) 678-3611(337) 678-3599 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 24, 2020, Feb 19, 2020 (2 updates tracked since 2020).

About Beacon Behavioral Outpatient - Opelousas NPPES

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

BEACON BEHAVIORAL OUTPATIENT - OPELOUSAS (NPI 1104459064) is a healthcare organization registered as a mental health in Opelousas, Louisiana and active in the NPI registry since February 2020. The organization holds 2 active CLIA laboratory certificates and lists Phillip Sean Wendell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104459064
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSPRINGLAKE BEHAVIORAL HEALTH BUNKIE LLC
Location Address5620 I 49 N SERVICE RD STE 11Opelousas, LA 70570-0780
Mailing Address4601 Bluebonnet Blvd Ste BBaton Rouge, LA 70809-9656 · (225) 810-4040 · Fax (225) 810-4050
Phone(337) 678-3611
Fax(337) 678-3599
Organization SubpartYes
Authorized OfficialPhillip Sean WendellCeo · (337) 678-3611
Enumeration DateFebruary 19, 2020
Last NPPES UpdateDecember 24, 20202 updates tracked since enumeration
NPPES CertifiedDecember 24, 2020
✔ NPI 1104459064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
5620 I 49 N SERVICE RD STE 11, Opelousas, LA 70570
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Other Names 1

Doing Business AsBeacon Behavioral Outpatient - Opelousas

Other Identifiers 2

Medicaid2700227LA
Other194112Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 19D2138298

Beacon Behavioral Outpatient-Bogalusa · Bogalusa, LA
Active · expires Oct 12, 2027
CLIA Number19D2138298
Laboratory TypeHospital
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorKenneth Sumner
Laboratory Phone(225) 810-4040
Laboratory LocationBeacon Behavioral Outpatient-Bogalusa1640 S Columbia Street, Bogalusa, LA 70427
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2204279

Beacon Behavioral Op-Opelousas · Opelousas, LA
Active · expires Dec 7, 2026
CLIA Number19D2204279
Laboratory TypeOutpatient Behavioral Hea
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorTabatha Golding
Laboratory Phone(337) 678-3611
Laboratory LocationBeacon Behavioral Op-Opelousas816 Cresswell Lane Ste 2&3, Opelousas, LA 70570
CLIA data matches this NPI record on: Phone
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 Springlake Behavioral Health Bunkie LLC's NPI number?

The NPI number for Springlake Behavioral Health Bunkie LLC is 1104459064. It was assigned to this organization in the NPPES registry on February 19, 2020. The provider is doing business as Beacon Behavioral Outpatient - Opelousas.

Where is Springlake Behavioral Health Bunkie LLC located?

Springlake Behavioral Health Bunkie LLC is located at 5620 I 49 N Service Rd Ste 11, Opelousas, LA 70570. The listed phone number is (337) 678-3611.

What is Springlake Behavioral Health Bunkie LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Springlake Behavioral Health Bunkie LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Springlake Behavioral Health Bunkie LLC was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.