NPIMap

Organization Active NPI

Parent Partners LLC

  • Adult Mental Health Clinic/Center
  • Lafayette, LA
National Provider Identifier
1235640095
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
8790 Issued in LA
Legal business name
PARENT PARTNERS LLC
Practice address
1304 Bertrand Dr Ste D5
Lafayette, LA 70506-9104
Phone
(855) 452-4522
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Julie Mouton
Title
President
Phone
(855) 452-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 8790 LA Primary

Addresses

Primary practice location

1304 Bertrand Dr Ste D5
Lafayette, LA 70506-9104

Mailing address

1304 Bertrand Dr Ste D5
Lafayette, LA 70506-9104

Other identifiers 1

IdentifierTypeStateIssuer
1104066141MedicaidLA

National Provider Directory

National Provider Directory

Locations

1304 Bertrand Dr
Ste D5
Lafayette, LA 70506
Phone (337) 446-1223

Practitioners & affiliated clinicians

Practitioners 1

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1235640095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE D5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE D5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069104",
            "telephone_number": "855-452-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "MOUTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-452-4522"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "LA",
            "license": "8790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104066141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.