Mindful Wellness Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDFUL WELLNESS INC.

Practice address

2704 Hodges St
Lake Charles, LA 70601-7366

Phone

(712) 646-3385

Fax

(337) 340-9401

NPI assigned

Aug 10, 2018

Last updated

May 15, 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

Lori P Kay, APRN PMHNP-BCNPI 1447703251

Title

Owner/Provider

Phone

(337) 532-0157

Specialties & licenses 10

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

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.

• Lori Kay

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1447703251
  Medicare reassignment NPD Authorized official
• Horatio Millin, M.D.

  • Psychiatry Physician
  • Lake Charles, LA
  • NPI 1518071802
  NPD (past)
• Brittani Feliciana Penny, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1437000205
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1275012239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017366",
            "telephone_number": "712-646-3385",
            "fax_number": "337-340-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017366",
            "telephone_number": "712-646-3385",
            "fax_number": "337-340-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "337-532-0157",
        "authorized_official_credential": "APRN PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432541",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald William Mills, LCSW
• Jenny Khoury Mills, LCSW
• Noelle Mills
• Mindful Birth Education LLC
• Mindful Solutions Mental Health Care
• Marian Elizabeth Minias, PHARM D
• Minor Medical Clinic LLC
• Allison Denea Minor, PNP
• Raven Rachelle Miranda, PHARMD
• Alyssa Mitchell

• Psychiatric/Mental Health Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.