Organization Active NPI

Simply Sound Mind, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1053838680
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07290 Issued in LA
Legal business name
SIMPLY SOUND MIND, LLC
Practice address
300 Washington St Ste 208
Monroe, LA 71201-6762
Phone
(318) 651-8337
NPI assigned
Aug 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lourdes Pineda Torres, APRNNPI 1508208174
Title
Manager
Phone
(318) 651-8337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP07290 LA Primary

Addresses

Primary practice location

300 Washington St Ste 208
Monroe, LA 71201-6762

Mailing address

300 Washington St Ste 208
Monroe, LA 71201-6762
Phone (318) 651-8337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009000789 LA Part B Supplier - Clinic/Group Practice 5698040210 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory

Locations

300 Washington St
Ste 208
Monroe, LA 71201
Phone (318) 322-8482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053838680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST STE 208",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016762",
            "telephone_number": "318-651-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST STE 208",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016762",
            "telephone_number": "318-651-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SOUND MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "PINEDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-651-8337",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.