Organization Active NPI

Salt & Light Behavioral Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1396443164
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SALT & LIGHT BEHAVIORAL HEALTH & WELLNESS LLC
Practice address
2345 Mendon Rd
Woonsocket, RI 02895-6187
Phone
(401) 250-0123
Fax
(401) 238-8769
NPI assigned
Feb 21, 2023
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Laura Langevin, PMHNP, BCNPI 1023765930
Title
Director
Phone
(401) 250-0123

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: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2345 Mendon Rd
Woonsocket, RI 02895-6187

Mailing address

2345 Mendon Rd Ste 4
Woonsocket, RI 02895-6164
Phone (401) 250-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721002909 RI Part B Supplier - Clinic/Group Practice 3274993241 Receives reassigned benefits from 2 practitioners
Practice locations: Woonsocket, RI

National Provider Directory

National Provider Directory

Locations

2345 Mendon Rd
Ste 4
Woonsocket, RI 02895
Phone (401) 250-0123

2345 Mendon Rd
Woonsocket, RI 02895
Phone (401) 250-0123

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1396443164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MENDON RD STE 4",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956164",
            "telephone_number": "401-250-0123",
            "fax_number": "401-238-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956187",
            "telephone_number": "401-250-0123",
            "fax_number": "401-238-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT & LIGHT BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "LANGEVIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-250-0123",
        "authorized_official_credential": "PMHNP, BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.