Ally Mental Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ALLY MENTAL HEALTH, LLC

Practice address

16270 Airline Hwy Ste D
Prairieville, LA 70769-4589

Phone

(225) 402-2299

Fax

(866) 258-9870

NPI assigned

Mar 26, 2020

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shantell Burns, DNPNPI 1003205931

Title

Owner

Phone

(225) 402-2299

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Shantell Burns, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prairieville, LA
  • NPI 1003205931
  Medicare reassignment NPD Authorized official
• Keirra Johnson White, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carencro, LA
  • NPI 1851065817
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1205463254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707691109",
            "telephone_number": "225-402-2299",
            "fax_number": "866-258-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16270 AIRLINE HWY STE D",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694589",
            "telephone_number": "225-402-2299",
            "fax_number": "866-258-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "SHANTELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-402-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allymentalhealth@insyncdirect.com",
            "affiliation": "N",
            "endpointDescription": "In Sync Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16270 Airline Hwy Ste D",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707694589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.