Individual provider Active NPI

Justin Robert Ragon

  • Psychiatric/Mental Health Nurse Practitioner
  • Houma, LA
National Provider Identifier
1093325409
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200327 Issued in LA
Practice address
235 Civic Center Blvd
Houma, LA 70360-5937
Phone
(985) 333-2020
NPI assigned
Jul 31, 2020
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904119 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0002218-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200327 LA Primary

Addresses

Primary practice location

235 Civic Center Blvd
Houma, LA 70360-5937

Mailing address

1505 N Florida St
Covington, LA 70433-1544

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ragonjustin@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CO, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210610001383 LA Practitioner - Nurse Practitioner 4880094945 Reassigns benefits to 1 organization
I20211112001261 CO Practitioner - Nurse Practitioner 4880094945 Reassigns benefits to 1 organization
I20240528002568 MS Practitioner - Nurse Practitioner 4880094945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0002218-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
904119MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cure Global, LLC CurrentSince Jul 1, 2021 Accepting new patients
North Oaks Obstetrics & Gynecology CurrentSince Jun 28, 2021 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Feb 23, 2024 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Nov 4, 2021 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

15748 Medical Arts Dr
Hammond, LA 70403
Phone (985) 542-0663

2201 Veterans Memorial Blvd
Ste 405
Metairie, LA 70002
Phone (844) 943-2873

215 Katherine Dr
#A
Jackson, MS 39232

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1093325409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N FLORIDA ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CIVIC CENTER BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605937",
            "telephone_number": "985-333-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGON",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-03-10",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904119",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0002218-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "200327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ragonjustin@gmail.com",
            "affiliation": "N",
            "address_1": "40 Roosters Ln",
            "city": "Carriere",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394267022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.