Pure Mind Counseling & Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PURE MIND COUNSELING & WELLNESS, LLC

Practice address

4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640

Phone

(225) 217-2898

Fax

(504) 500-9412

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Shantelle Jacobs, LPC-SNPI 1982088175

Title

Founder, LPC-S

Phone

(225) 217-2898

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shantelle Jacobs, LPC-S

  • Professional Counselor
  • Zachary, LA
  • NPI 1982088175
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1770101883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 S SHERWOOD FOREST BLVD STE D1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164640",
            "telephone_number": "225-217-2898",
            "fax_number": "504-500-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 S SHERWOOD FOREST BLVD STE D1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164640",
            "telephone_number": "225-217-2898",
            "fax_number": "504-500-9412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Westfork Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708270004",
            "country_code": "US",
            "telephone_number": "225-262-9457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE MIND COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_title_or_position": "FOUNDER, LPC-S",
        "authorized_official_telephone_number": "225-217-2898",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Baton Rouge, LA
• Providers in Baton Rouge, 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 Mar 20, 2021; 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.