NPIMap

Organization Active NPI

Ment Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1326617689
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENT PSYCHIATRY
Practice address
13392 Magnolia Square Drive
Baton Rouge, LA 70818
Phone
(225) 503-0088
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Jerica Layne Mitchell, PMHNPNPI 1396363008
Title
Provider/Owner
Phone
(225) 888-3628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13392 Magnolia Square Drive
Baton Rouge, LA 70818

Mailing address

PO Box 64655
Baton Rouge, LA 70896-4655

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

National Provider Directory

National Provider Directory
Tax ID family
Ment LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Ment LC
    • Psychiatric/Mental Health Nurse Practitioner
    • Baton Rouge, LA
    • NPI 1871162180
    NPD tax ID

Locations

4500 Government St
Unit 64655
Baton Rouge, LA 70896

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": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1326617689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64655",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708964655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13392 MAGNOLIA SQUARE DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70818",
            "telephone_number": "225-503-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JERICA",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "225-888-3628",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "4500 Government St Unit 64655",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708965020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.