Active NPI
Mindful Concepts and Mental Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1891515284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDFUL CONCEPTS AND MENTAL WELLNESS
- Practice address
- 201 Rue Beauregard Ste 202
Lafayette, LA 70508-3251 - Phone
- (971) 328-3493
- NPI assigned
- Oct 11, 2024
- Last updated
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Davidson, PMHNP
- Title
- Owner
- Phone
- (971) 328-3493
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
201 Rue Beauregard Ste 202
Lafayette, LA 70508-3251
Mailing address
1302 Compromise St
Kenner, LA 70062-6538
National Provider Directory
National Provider DirectoryPractitioners & 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": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1891515284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 COMPROMISE ST",
"city": "KENNER",
"state": "LA",
"postal_code": "700626538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 RUE BEAUREGARD STE 202",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083251",
"telephone_number": "971-328-3493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL CONCEPTS AND MENTAL WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-05",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-328-3493",
"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 Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.