Charmon Bates, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

248543 Issued in LA

Practice address

920 Pierremont Rd Ste 205
Shreveport, LA 71106-2093

Phone

(318) 632-7426

Fax

(800) 446-6048

NPI assigned

Feb 14, 2024

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bates Behavioral Health Services& Mental Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Cane, LA
  • NPI 1952205163
  Authorized official Same address or phone

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1417712951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PIERREMONT RD STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062093",
            "telephone_number": "318-632-7426",
            "fax_number": "800-446-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PIERREMONT RD STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062093",
            "telephone_number": "318-632-7426",
            "fax_number": "800-446-6048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1681 Mount Zion Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Cane",
            "state": "LA",
            "postal_code": "710326105",
            "country_code": "US",
            "telephone_number": "318-402-8201",
            "fax_number": "318-404-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "CHARMON",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "248543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Bass
• Kristen Ruth Bass, PA-C
• Pat F Bass, M.D.
• Bates Chiropractic & Sports Therapy, LLC
• Allamont Bates
• Ryan Lee Bates, D. C.
• Keir Batiste, PHARMD
• Kimani Xierra Batiste, BSW, RSW
• James F Batte, DDS
• Jason Lee Batten, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.