Organization Active NPI

Pearl Psychiatry and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1831022466
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEARL PSYCHIATRY AND WELLNESS LLC
Practice address
609 S 16TH St
Oxford, MS 38655-4409
Phone
(662) 876-1549
Fax
(662) 735-4500
NPI assigned
Jun 4, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Dr. Lauren Blackburn, PMHNPNPI 1720769151
Title
Owner/NP
Phone
(662) 876-1549

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

609 S 16TH St
Oxford, MS 38655-4409

Mailing address

PO Box 165
Oxford, MS 38655-0165
Phone (662) 876-1549

National Provider Directory

National Provider Directory

Locations

609 S 16th St
Oxford, MS 38655
Phone (662) 876-1549

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1831022466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386550165",
            "telephone_number": "662-876-1549",
            "fax_number": "662-735-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S 16TH ST",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554409",
            "telephone_number": "662-876-1549",
            "fax_number": "662-735-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL PSYCHIATRY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "662-876-1549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.