PURE MIND COUNSELING & WELLNESS (NPI# 1770101883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770101883 |
| Entity Type | Organization |
| Organization Name | PURE MIND COUNSELING & WELLNESS |
| Practice Address |
2900 Westfork Dr Ste 401 Baton Rouge LA 70827-0004 |
| Practice Telephone | 2252629457 |
| Mailing Telephone | 2252172898 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | SHANTELLE R. JACOBS (FOUNDER, LPC) |
| Authorized Official Telephone | 2252172898 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2900 WESTFORK DR STE 401 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70827-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811289390 | Mission Medical Group of Louisiana LLC | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2011-05-03 |
| 1912511007 | Shameka Mitchell | Social Worker | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-09-04 |
| 1275142325 | Thomas G Greer | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-07-24 |
| 1912533613 | D&t Med La, LLC | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-03-13 |
| 1447882162 | Kristen M. Hill | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-02-11 |
| 1487299715 | National Youth Advocate Program, Inc | Foster Care Agency | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-11-11 |
| 1851942841 | Mattie & Associates | Internal Medicine | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-09-22 |
| 1710403852 | The Chrysalis Center, LLC | Clinic/Center | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827 | 2017-08-21 |
| 1366998015 | Myisha Joseph | Counselor | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003350489 | Central Ophthalmic & Medical Billing Services LLC | Technician/Technologist | 2900 West Fork Dr, Suite 401, Baton Rouge, LA 70827 | 2016-12-05 |
| 1972602662 | Monitetra M King | Social Worker | 2900 W Fork Dr, Suite 200, Baton Rouge, LA 70827 | 2006-09-21 |
| 1336138304 | Glenn N Jones | Psychologist | 2900 Westfork Dr, Suite 200, Baton Rouge, LA 70827-0004 | 2005-10-20 |
| 1538399704 | Louisiana Phs LLC | Family Medicine | 2900 Westfork Dr, Suite 401, Baton Rouge, LA 70827-0004 | 2009-07-21 |
| 1023654134 | A and T Aziz Enterprises, LLC | Meals | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-11-24 |
| 1487201562 | Wilbert Dangerfield | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-08-22 |
| 1831565589 | Karen Jones | Nurse Practitioner | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2015-08-18 |
| 1710360615 | Brittney Howell | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-07-09 |
| 1164801965 | Kristin Kennedy | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-05-26 |
| 1295088326 | Tri Parish Medical Services Inc | Private Vehicle | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2012-10-26 |
| Find all providers in zip 70827 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1386265148 | Crossroads Recovery House | Community/Behavioral Health | 10377 Goodwood Blvd, Baton Rouge, LA 70815-4526 | 2020-05-04 |
| 1871144725 | Upward Health of Louisiana LLC | Community/Behavioral Health | 3867 Plaza Tower Dr, Baton Rouge, LA 70816-4378 | 2019-09-23 |
| 1912555335 | Healthy Progressions, LLC | Community/Behavioral Health | 1761 Physicians Park Dr, Baton Rouge, LA 70816-3223 | 2019-08-28 |
| 1962974725 | Community Outreach Services LLC | Community/Behavioral Health | 2133 Silverside Dr Ste F, Baton Rouge, LA 70808-4179 | 2018-12-18 |
| 1821563552 | Addiction Counseling and Educational Resources, LLC | Community/Behavioral Health | 9431 Common St, Baton Rouge, LA 70809-1435 | 2018-10-09 |
| 1336626118 | Empowerme Mental Health | Community/Behavioral Health | 5522 Jones Creek Rd, Baton Rouge, LA 70817-2158 | 2018-07-24 |
| 1275032013 | Shanel Wolf | Community/Behavioral Health | 4348 S Jeffrey Dr Ste 101&102, Baton Rouge, LA 70816-4196 | 2018-02-07 |
| 1598263022 | C & C Development Services | Community/Behavioral Health | 9235 Kimberly Way, Baton Rouge, LA 70814-2863 | 2018-01-30 |
| 1831603463 | Positive Refelections Community Health Services | Community/Behavioral Health | 3300 N Sherwood Forest Dr, Baton Rouge, LA 70814-5326 | 2017-11-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70827 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.