Living Well Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIVING WELL PSYCHOLOGICAL SERVICES, LLC

Practice address

824 Elmwood Park Blvd Ste 156
New Orleans, LA 70123-3360

Phone

(504) 414-1900

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kentrell Monique Avery, PSYDNPI 1265785836

Title

Founder/Psychologist

Phone

(225) 439-8040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Kentrell Monique Avery, PSY.D.

  • Clinical Psychologist
  • Temple, TX
  • NPI 1265785836

  LA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1710774252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 ELMWOOD PARK BLVD STE 156",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701233360",
            "telephone_number": "504-414-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 ELMWOOD PARK BLVD STE 156",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701233360",
            "telephone_number": "504-414-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-20",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "KENTRELL",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "FOUNDER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "225-439-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.