Lake Area TMS

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LAKE AREA TMS

Practice address

1 Lakeshore Dr Ste 130
Lake Charles, LA 70629-0100

Phone

(832) 363-7877

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Phaetra Raney, ED.D, LCSW

Title

Ceo

Phone

(832) 363-7877

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1679197651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19901 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796538",
            "telephone_number": "832-363-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR STE 130",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290100",
            "telephone_number": "832-363-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA TMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "PHAETRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-363-7877",
        "authorized_official_credential": "ED.D, LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lakeareatms",
            "affiliation": "N",
            "endpointDescription": "lakeareatms",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Lakeshore Dr Ste 130",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706290100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lake Area Physician Services LLC
• Lake Area Physician Services LLC
• Lake Area Prosthetics & Orthotics
• Lake Area Psychiatry LLC (Lake Area Psychiatry)
• Lake Area Rehabilitation Services, Inc.
• Lake Charles Addiction and Wellness Center (Addiction and Wellness)
• Lake Charles Ambulatory Surgery Center, LP (Cardiovascular Outpatient Surgery Center of Southwest Louisiana)
• Lake Charles Anesthesiology, Apmc
• Lake Charles Clinical Trials, LLC
• Lake Charles Dialysis Center LLC

• Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.