Individual provider Active NPI

Ellen Declouet Ritch, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1700292281
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07881 Issued in LA
Practice address
302 La Rue France Ste 202
Lafayette, LA 70508-3133
Phone
(337) 534-0971
Fax
(337) 534-0974
NPI assigned
Jul 7, 2014
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07881 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07881 LA Primary

Addresses

Primary practice location

302 La Rue France Ste 202
Lafayette, LA 70508-3133

Mailing address

302 La Rue France Ste 202
Lafayette, LA 70508-3133
Phone (337) 534-0971

Other identifiers 1

IdentifierTypeStateIssuer
2400908MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151028002298 LA Practitioner - Nurse Practitioner 3375852585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Declouet Mental Health Solutions, LLCGroup PAC ID 8426450313, 3 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

302 La Rue France
Suite 200
Lafayette, LA 70508-3133
Phone (337) 534-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coolidge Physician Services LLC Nurse Practitioner CurrentSince Jul 15, 2015 Accepting new patients
Declouet Mental Health Solutions, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

302 La Rue France
Ste 202
Lafayette, LA 70508
Phone (337) 534-0971

302 La Rue France
Ste 200
Lafayette, LA 70508
Phone (337) 534-0121

Interoperability endpoints

  • Direct secure messaging: eritch1443428@direct.ochsner.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1700292281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 LA RUE FRANCE STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083133",
            "telephone_number": "337-534-0971",
            "fax_number": "337-534-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LA RUE FRANCE STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083133",
            "telephone_number": "337-534-0971",
            "fax_number": "337-534-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCH",
        "first_name": "ELLEN",
        "middle_name": "DECLOUET",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07881",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400908",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.