Mended Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENDED MENTAL HEALTH LLC

Practice address

415 Bienville St Ste 6
Natchitoches, LA 71457-5700

Phone

(318) 228-8635

Fax

(318) 228-8634

NPI assigned

Jul 31, 2023

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Johnson, APRNNPI 1447998505

Title

Owner - Provider

Phone

(318) 228-8635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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.

• Sarah Elizabeth Johnson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Natchitoches, LA
  • NPI 1447998505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1578244646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BIENVILLE ST STE 6",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575700",
            "telephone_number": "318-228-8635",
            "fax_number": "318-228-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BIENVILLE ST STE 6",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575700",
            "telephone_number": "318-228-8635",
            "fax_number": "318-228-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER - PROVIDER",
        "authorized_official_telephone_number": "318-228-8635",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Natchitoches, LA
• Providers in Natchitoches, 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 Jul 10, 2024; 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.