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BEACON BEHAVIORAL OUTPATIENT - SLIDELL LLC
NPI 1104613959
Community/Behavioral Health in Slidell, LA

Active since April 24, 2025CLIA 19D1006758 · Waiver
2130 1ST ST, SLIDELL, LA 70458(985) 607-0290 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beacon Behavioral Outpatient - Slidell Llc NPPES

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

BEACON BEHAVIORAL OUTPATIENT - SLIDELL LLC (NPI 1104613959) is a healthcare organization registered as a community/behavioral health in Slidell, Louisiana and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Phillip Sean Wendell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104613959
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBEACON BEHAVIORAL OUTPATIENT - SLIDELL LLC
Location Address2130 1ST STSlidell, LA 70458-3432
Mailing Address14707 Perkins RdBaton Rouge, LA 70810-2216 · (504) 910-6056
Phone(985) 607-0290
Organization SubpartNo
Authorized OfficialPhillip Sean WendellCeo · (225) 252-4758
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1104613959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
2130 1ST ST, Slidell, LA 70458
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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 19D1006758

Beacon Behavioral Health Outpatient-Slidell · Slidell, LA
Active · expires Nov 26, 2026
CLIA Number19D1006758
Laboratory TypeAmbulance
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorMike Conaway
Laboratory Phone(985) 607-0290
Laboratory LocationBeacon Behavioral Health Outpatient-Slidell2130 First Street, Slidell, LA 70458
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEPARTMENT OF HEALTH AND HOSPITALS (DHH)
Community/Behavioral Health
2130 1ST ST
SLIDELL, LA 70458
St. Tammany Parish (985) 646-6406
BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC
Counselor (Mental Health)
2130 1ST ST
SLIDELL, LA 70458
St. Tammany Parish (985) 607-0290
JODY BARASH CACAMO
Counselor (Mental Health)
2130 1ST ST
SLIDELL, LA 70458
St. Tammany Parish (985) 607-0290
DR. MICHELE MARIE JOHNSON M. D.
Internal Medicine
2130 1ST ST
SLIDELL, LA 70458
St. Tammany Parish (985) 646-6406
DEPARTMENT OF HEALTH AND HOSPITALS
Clinic/Center (Rehabilitation, Substance Use Disorder)
2130 1ST ST
SLIDELL, LA 70458
St. Tammany Parish (985) 646-6406
MRS. ALEXIS WOLCOTT LCSW
Social Worker (Clinical)
2130 1ST ST
SLIDELL, LA 70458
St. Tammany Parish (985) 707-8671

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 Beacon Behavioral Outpatient - Slidell LLC's NPI number?

The NPI number for Beacon Behavioral Outpatient - Slidell LLC is 1104613959. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Beacon Behavioral Outpatient - Slidell LLC located?

Beacon Behavioral Outpatient - Slidell LLC is located at 2130 1st St, Slidell, LA 70458. The listed phone number is (985) 607-0290.

What is Beacon Behavioral Outpatient - Slidell LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Beacon Behavioral Outpatient - Slidell LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1006758) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beacon Behavioral Outpatient - Slidell LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.