Laura Patrice Banks Starks, PMHNP-BC

Key facts

NPI

1508466939

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

1126119 (TX)

Practice address

1438 Som Center Rd
201
Cleveland, OH 44124

Phone

(216) 688-5110

NPI assigned

Oct 26, 2020

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Alaura Health Care LLC Community Psychiatric/Mental Health Clinical Nurse Specialist · Mayfield Heights, OH · NPI 1548159361
  Medicare reassignment NPD OH
• Ohio Addiction Management LLC Primary Care Clinic/Center · Columbus, OH · NPI 1649733445
  Medicare reassignment NPD OH
• 360 Wellness Group LLC Psychiatric/Mental Health Nurse Practitioner · Houston, TX · NPI 1891529020
  Medicare reassignment NPD PSYCHIATRIC/MENTAL HEALTH · TX
• Ohio Addiction Management LLC Community/Behavioral Health Agency · Dayton, OH · NPI 1780577312
  NPD
• Hiawatha Harris, M.D., Inc. Counselor · Oakland, CA · NPI 1487074845
  NPD (past)
• Hiawatha Harris, M.D., Inc. Mental Health Counselor · Oakland, CA · NPI 1942420724
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in OH, TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2025.

{
    "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": []
}

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