Organization Active NPI

Prosper & Bloom Mental Health, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1619662244
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PROSPER & BLOOM MENTAL HEALTH, INC
Practice address
9800 Airline Hwy Ste 219
Baton Rouge, LA 70816-8195
Phone
(225) 605-3103
NPI assigned
Apr 10, 2023
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Anissa WomackNPI 1871209973
Title
Owner
Phone
(225) 605-3103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9800 Airline Hwy Ste 219
Baton Rouge, LA 70816-8195

Mailing address

9800 Airline Hwy Ste 219
Baton Rouge, LA 70816-8195
Phone (225) 605-3103

National Provider Directory

National Provider Directory

Locations

9800 Airline Hwy
Ste 219
Baton Rouge, LA 70816

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1619662244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 AIRLINE HWY STE 219",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168195",
            "telephone_number": "225-605-3103",
            "fax_number": "225-308-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 AIRLINE HWY STE 219",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168195",
            "telephone_number": "225-605-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER & BLOOM MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-605-3103"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.