Individual provider Active NPI

Laura Patrice Banks Starks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1508466939
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1126119 Issued in TX
Practice address
1438 Som Center Rd
201
Cleveland, OH 44124
Phone
(216) 688-5110
NPI assigned
Oct 26, 2020
Last updated
Jun 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95175418 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1126119 TX Primary

Addresses

Primary practice location

1438 Som Center Rd
201
Cleveland, OH 44124

Mailing address

1438 Som Center Rd
No 201
Mayfield Heights, OH 44124
Phone (216) 688-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240618001966 OH Practitioner - Nurse Practitioner 3476096512 Reassigns benefits to 2 organizations
I20240731001945 TX Practitioner - Nurse Practitioner 3476096512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95175418CAMDRegistered Nurse
1126119TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaura Health Care LLC CurrentSince Jul 9, 2025 Accepting new patients
Ohio Addiction Management LLC CurrentSince Apr 1, 2024 Accepting new patients
Ohio Addiction Management LLC CurrentSince Apr 1, 2024 Accepting new patients
360 Wellness Group LLC Psychiatric/Mental Health CurrentSince May 24, 2025 Accepting new patients
Hiawatha Harris, M.D., Inc. PastSince Nov 1, 2020 Accepting new patients
Hiawatha Harris, M.D., Inc. PastSince Nov 1, 2020 Accepting new patients

Locations

1730 S High St
Columbus, OH 43207
Phone (614) 404-3739

1438 Som Center Rd
Ste 201
Mayfield Heights, OH 44124
Phone (216) 688-5110

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1508466939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 SOM CENTER RD",
            "address_2": "NO 201",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "216-688-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 SOM CENTER RD",
            "address_2": "201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "216-688-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS STARKS",
        "first_name": "LAURA",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95175418",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1126119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.