Individual provider Active NPI

Caressa Elzia Kaough

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1154629558
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
236037 Issued in LA
Practice address
5455 Heberts Pass
Lake Charles, LA 70607-7705
Phone
(337) 513-8036
NPI assigned
Mar 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 236037 LA Primary

Addresses

Primary practice location

5455 Heberts Pass
Lake Charles, LA 70607-7705

Mailing address

5455 Heberts Pass
Lake Charles, LA 70607-7705
Phone (337) 513-8036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250106000138 LA Practitioner - Nurse Practitioner 1850829813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Psychiatry, LLCGroup PAC ID 9931632080, 8 clinicians

Practice addresses (Care Compare)

901 S Huntington St
Sulphur, LA 70663-4419
Phone (337) 965-9921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236037LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Psychiatry, LLC Psychiatric/Mental Health CurrentSince Dec 31, 2024 Accepting new patients
Peaceful Pathways Behavioral Health Services CurrentSince Aug 13, 2025 Accepting new patients
Mindful Solutions Mental Health Care CurrentSince Aug 23, 2024 Accepting new patients

Locations

901 S Huntington St
Sulphur, LA 70663
Phone (337) 429-8088

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1154629558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 HEBERTS PASS",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706077705",
            "telephone_number": "337-513-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 HEBERTS PASS",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706077705",
            "telephone_number": "337-513-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOUGH",
        "first_name": "CARESSA",
        "middle_name": "ELZIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2024-06-26",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "236037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.