Individual provider Active NPI

Laken Patin

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1205554912
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
226931 Issued in LA
Practice address
2802 Hodges St
Lake Charles, LA 70601-7368
Phone
(337) 419-1873
NPI assigned
Aug 18, 2022
Last updated
Mar 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1096382 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 226931 LA Primary

Addresses

Primary practice location

2802 Hodges St
Lake Charles, LA 70601-7368

Mailing address

2802 Hodges St
Lake Charles, LA 70601-7368

Other practice location 1

427 W 20th St Ste 203
Houston, TX 77008-2400
Phone (346) 712-1914

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
I20221109001176 LA Practitioner - Nurse Practitioner 5597140277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 Hospital Dr
Oakdale, LA 71463-3034
Phone (337) 639-3001

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-8022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226931LAMDPsychiatric/Mental Health Nurse Practitioner
1096382TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Calcasieu Human Services Authority CurrentSince Sep 1, 2022 Accepting new patients
Imperial Calcasieu Human Services Authority CurrentSince Sep 1, 2022 Accepting new patients
Imperial Calcasieu Human Services Authority Current Accepting new patients
Elite Medical Wellness LLC PastSince Aug 28, 2022 Accepting new patients
Imperial Calcasieu Human Services Authority Past Accepting new patients
Imperial Calcasieu Human Services Authority Past Accepting new patients

Locations

106 W Port St
Deridder, LA 70634
Phone (337) 462-1354

437 N Market St
Jennings, LA 70546
Phone (337) 246-7325

4105 Kirkman St
Lake Charles, LA 70607
Phone (337) 475-3100

145 Hospital Dr
Oakdale, LA 71463
Phone (337) 639-3001

402 Industrial Dr
Oberlin, LA 70655
Phone (337) 639-3000

2651 E Napoleon St
Sulphur, LA 70663
Phone (337) 475-3100

Organizations & group practices 6

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1205554912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017368",
            "telephone_number": "337-419-1873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 W 20th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770082400",
            "country_code": "US",
            "telephone_number": "346-712-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIN",
        "first_name": "LAKEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1096382",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "226931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.