Organization Active NPI

Total Wellness Urgent Psychiatric Care Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1902579675
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TOTAL WELLNESS URGENT PSYCHIATRIC CARE CLINIC
Practice address
410 S Franklin St
Bastrop, LA 71220-4533
Phone
(318) 598-5040
Fax
(318) 515-0011
NPI assigned
Jul 28, 2021
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Mr. Edward Lanier
Title
Office Manager
Phone
(817) 602-4389

Specialties & licenses 2

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

Addresses

Primary practice location

410 S Franklin St
Bastrop, LA 71220-4533

Mailing address

410 S Franklin St
Bastrop, LA 71220-4533
Phone (318) 598-5040

Other practice location 1

700 N 7th St
Monroe, LA 71201-6352
Phone (318) 598-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209000641 LA Part B Supplier - Clinic/Group Practice 8729471099 Receives reassigned benefits from 4 practitioners
Practice locations: Bastrop, LA; Monroe, LA; Vidalia, LA; West Monroe, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2278920Total Wellness Urgent Psychiatric Care Clinic410 S Franklin Street, Bastrop, LA 71220Certificate of waiverMar 26, 2027
19D2307310Total Wellness Urgent Psychiatric Care700 North 7TH Street, Monroe, LA 71201Certificate of waiverJul 6, 2026

National Provider Directory

National Provider Directory

Locations

1648 Carter St
#1
Vidalia, LA 71373
Phone (318) 598-5040

1505 N 7th St
West Monroe, LA 71291
Phone (318) 322-4770

Practitioners & affiliated clinicians

Practitioners 9

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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1902579675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204533",
            "telephone_number": "318-598-5040",
            "fax_number": "318-515-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204533",
            "telephone_number": "318-598-5040",
            "fax_number": "318-515-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016352",
            "country_code": "US",
            "telephone_number": "318-598-5040",
            "fax_number": "318-515-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL WELLNESS URGENT PSYCHIATRIC CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-602-4389",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.