Organization Active NPI

Pure Therapy & Wellness

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1699609404
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Mrs. Ryan Clemons, LPCNPI 1699383190
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.