Active NPI
Pure Therapy & Wellness
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1699609404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PURE THERAPY & WELLNESS
- Practice address
- 3550 Knight LN Ste 4
Lake Charles, LA 70605-1206 - Phone
- (337) 302-1117
- NPI assigned
- Jun 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ryan Clemons, LPC
- Title
- Counselor
- Phone
- (337) 302-1117
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3550 Knight LN Ste 4
Lake Charles, LA 70605-1206
Mailing address
301 E Park Manor Dr
Lake Charles, LA 70611-3920
Phone (337) 302-1117
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1699609404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E PARK MANOR DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706113920",
"telephone_number": "337-302-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 KNIGHT LN STE 4",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706051206",
"telephone_number": "337-302-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE THERAPY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "CLEMONS",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "337-302-1117",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.