Organization Active NPI

Mosaic Minds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
National Provider Identifier
1336038819
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOSAIC MINDS
Practice address
12090 S Harrells Ferry Rd Ste G
Baton Rouge, LA 70816-2470
Phone
(225) 773-1330
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Shannon RobertsonNPI 1205265295
Title
Owner
Phone
(225) 773-1330

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12090 S Harrells Ferry Rd Ste G
Baton Rouge, LA 70816-2470

Mailing address

12327 Haven Ave
Baton Rouge, LA 70818-5736

National Provider Directory

National Provider Directory

Locations

12090 S Harrells Ferry Rd
Ste G
Baton Rouge, LA 70816
Phone (225) 773-1330

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1336038819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12327 HAVEN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708185736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12090 S HARRELLS FERRY RD STE G",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162470",
            "telephone_number": "225-773-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-773-1330"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 30, 2025; 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.