Active NPI
Declouet Mental Health Solutions, LLC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Lafayette, LA
National Provider Identifier
1366011884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Legal business name
- DECLOUET MENTAL HEALTH SOLUTIONS, LLC
- Practice address
- 302 La Rue France Ste 202
Lafayette, LA 70508-3133 - Phone
- (337) 534-0971
- Fax
- (337) 534-0974
- NPI assigned
- Jun 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Alexander Declouet, PMHNP
- Title
- Owner
- Phone
- (337) 280-0441
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | Primary |
Addresses
Primary practice location
302 La Rue France Ste 202
Lafayette, LA 70508-3133
Mailing address
302 La Rue France Ste 202
Lafayette, LA 70508-3133
Phone (337) 534-0971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
302 La Rue France
Ste 200
Lafayette, LA 70508
Phone (337) 534-0121
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
- NPI 1518342310
-
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
- NPI 1700292281
-
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
- NPI 1306607908
-
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
- NPI 1558976084
-
- Psychiatric/Mental Health Nurse Practitioner
- Zachary, LA
- NPI 1942676911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1366011884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 LA RUE FRANCE STE 202",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083133",
"telephone_number": "337-534-0971",
"fax_number": "337-534-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 LA RUE FRANCE STE 202",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083133",
"telephone_number": "337-534-0971",
"fax_number": "337-534-0974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECLOUET MENTAL HEALTH SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-19",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A",
"authorized_official_last_name": "DECLOUET",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-280-0441",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 18, 2023; 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.