Paige Declouet, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP208408 Issued in LA

Practice address

218 Rue Beauregard Ste C
Lafayette, LA 70508-3284

Phone

(337) 484-1415

Fax

(337) 484-1419

NPI assigned

Sep 26, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Doing Well Psychiatric Services, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Lafayette, LA
  • NPI 1275102790
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1649821042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RUE BEAUREGARD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083284",
            "telephone_number": "337-484-1415",
            "fax_number": "337-484-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RUE BEAUREGARD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083284",
            "telephone_number": "337-484-1415",
            "fax_number": "337-484-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLOUET",
        "first_name": "PAIGE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP208408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOING WELL PSYCHIATRIC SERVICES, LLC.",
            "identifier": "1275102790",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Declouet Psychiatric Services, LLC
• Monique Bianca Declouet-Dixon, FNP
• Alyssa Declouet, PMHNP
• Mark Declouet, NP
• Matthew Alexander Declouet, PMHNP
• Edolia Declouette, MBA
• Danielle Decou, D.D.S.
• Jon S Decuir Jr., MD
• Jennifer R Dedo, PA-S
• William R Dedo, MD

• Psychiatric/Mental Health Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, 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 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.