Comfort Minds & Above LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMFORT MINDS & ABOVE LLC

Practice address

9500 Ray White Rd Ste 200
Fort Worth, TX 76244-9105

Phone

(214) 418-6227

NPI assigned

Jan 24, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Shuntak Jerideau, PMHNPNPI 1548578578

Title

President

Phone

(214) 418-6227

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shuntak Jerideau

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1548578578
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1407446362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449105",
            "telephone_number": "214-418-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449105",
            "telephone_number": "214-418-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MINDS & ABOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "JERIDEAU",
        "authorized_official_first_name": "SHUNTAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-418-6227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

• Matthew A Comay, MD
• Shanna Marie Combs, MD
• Bethany L Comeau
• Comfort Care Medical Transportation
• Comfort Horizon Home Care LLC
• Comfort Smiles 9 PLLC
• Comfortable Counseling, PLLC
• Comfortable Living
• Common Sense Health Solution LLC
• Communicare Pediatric Specialist, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.