Pegasus Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEGASUS BEHAVIORAL SERVICES LLC

Practice address

400 Mariners Plaza Dr Ste 409D
Mandeville, LA 70448-6849

Phone

(985) 224-0412

Fax

(985) 202-9331

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Davis

Title

Credentialing Specialists

Phone

(912) 373-4385

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Rattray, COUNSELOR

  • Professional Counselor
  • New Orleans, LA
  • NPI 1568991842
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1689274698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CARMEL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484127",
            "telephone_number": "985-224-0412",
            "fax_number": "985-202-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARINERS PLAZA DR STE 409D",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486849",
            "telephone_number": "985-224-0412",
            "fax_number": "985-202-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-373-4385"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6961",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Paul, LCSW
• Geraldine Stewart Payne, M.D.
• Rebecca Payne, DDS, MS
• Virginia Catherine Jensen Peden, LMFT
• Pediatrics Reimagined LLC
• Megan Lora Penton
• Anthony Micheal Peperone, APRN
• Max Spurlin Peragine
• Breizen Peralta
• Jorge Pedro Perera, DDS

• Community/Behavioral Health Agency in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.