BROUSSARD MENTAL HEALTH AND WELLNESS CLINIC LLC
NPI 1982596789
Nurse Practitioner - Psychiatric/Mental Health in Broussard, LA

Active since July 16, 2025
4016 HIGHWAY 90 E STE 112, BROUSSARD, LA 70518(337) 761-0727(337) 761-1688 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Broussard Mental Health And Wellness Clinic Llc NPPES

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

BROUSSARD MENTAL HEALTH AND WELLNESS CLINIC LLC (NPI 1982596789) is a healthcare organization registered as a psychiatric/mental health in Broussard, Louisiana and active in the NPI registry since July 2025. The organization lists Ericka Broussard, Owner, as its authorized official.

NPPES Registry Identity

NPI1982596789
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBROUSSARD MENTAL HEALTH AND WELLNESS CLINIC LLC
Location Address4016 HIGHWAY 90 E STE 112Broussard, LA 70518-3548
Mailing Address105 Hanna DrYoungsville, LA 70592-5520 · (337) 277-6944 · Fax (337) 761-1688
Fax(337) 761-1688
Organization SubpartNo
Authorized OfficialEricka BroussardOwner · (337) 277-6944
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1982596789 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
4016 HIGHWAY 90 E STE 112, Broussard, LA 70518

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broussard Mental Health And Wellness Clinic Llc 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 Broussard Mental Health And Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1962688077
4640 AMB CAFFERY PKWY BLDG B
Lafayette, LA 70508
(337) 984-1050
✔ PECOS✔ Accepts Medicare7.0 mi

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

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 Broussard Mental Health And Wellness Clinic LLC's NPI number?

The NPI number for Broussard Mental Health And Wellness Clinic LLC is 1982596789. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Broussard Mental Health And Wellness Clinic LLC located?

Broussard Mental Health And Wellness Clinic LLC is located at 4016 Highway 90 E Ste 112, Broussard, LA 70518. The listed phone number is (337) 761-0727.

What is Broussard Mental Health And Wellness Clinic LLC's specialty?

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

Is Broussard Mental Health And Wellness Clinic LLC enrolled in Medicare?

Yes. Broussard Mental Health And Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broussard Mental Health And Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Broussard Mental Health And Wellness Clinic LLC. 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.

What insurance does Broussard Mental Health And Wellness Clinic LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Broussard Mental Health And Wellness Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broussard Mental Health And Wellness Clinic LLC was last updated on July 16, 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.