Organization Active NPI

Priority Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Broussard, LA
National Provider Identifier
1235451568
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN094687-AP06057 Issued in LA
Legal business name
PRIORITY PSYCHIATRIC SERVICES LLC
Practice address
805 Albertson Pkwy Ste a
Broussard, LA 70518-4350
Phone
(337) 330-4730
Fax
(337) 330-4732
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Andrea Powell
Title
Office Manager
Phone
(337) 330-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN094687-AP06057 LA Primary

Addresses

Primary practice location

805 Albertson Pkwy Ste a
Broussard, LA 70518-4350

Mailing address

805 Albertson Pkwy Ste a
Broussard, LA 70518-4350
Phone (337) 330-4730

Other identifiers 1

IdentifierTypeStateIssuer
2100190MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000554 LA Part B Supplier - Clinic/Group Practice 3870628860 Receives reassigned benefits from 5 practitioners
Practice locations: Broussard, LA

National Provider Directory

National Provider Directory

Locations

805 Albertson Pkwy
Ste A
Broussard, LA 70518
Phone (337) 257-9333

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1235451568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ALBERTSON PKWY STE A",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184350",
            "telephone_number": "337-330-4730",
            "fax_number": "337-330-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ALBERTSON PKWY STE A",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184350",
            "telephone_number": "337-330-4730",
            "fax_number": "337-330-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-330-4730"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "RN094687-AP06057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100190",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.