NPIMap

Organization Active NPI

Lake Area Psychiatry LLC

Doing business as Lake Area Psychiatry

  • Psychiatry Physician
  • Lake Charles, LA
National Provider Identifier
1164423570
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LAKE AREA PSYCHIATRY LLC
Doing business as
Lake Area Psychiatry
Practice address
401 Dr Michael Debakey Dr Ste 301
Lake Charles, LA 70601-5864
Phone
(337) 478-9331
Fax
(337) 478-9828
NPI assigned
Aug 9, 2005
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Bethanne Carson, APRN, PMHNP-BCNPI 1780931154
Title
Owner/Ceo
Phone
(337) 478-9331

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

401 Dr Michael Debakey Dr Ste 301
Lake Charles, LA 70601-5864

Mailing address

401 Dr Michael Debakey Dr Ste 301
Lake Charles, LA 70601-5864
Phone (337) 478-9331

Other names 1

  • Lake Area Psychiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000192 LA Part B Supplier - Clinic/Group Practice 7810938321 Receives reassigned benefits from 14 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

100 S Ryan St
Lake Charles, LA 70601

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1164423570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DR MICHAEL DEBAKEY DR STE 301",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DR MICHAEL DEBAKEY DR STE 301",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "BETHANNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "337-478-9331",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Area Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.