MS. LATRICE SHONTA MALLARD MAM, APRN, PMHNP-BC
NPI 1225565807
Nurse Practitioner - Psychiatric/Mental Health in Kentwood, LA
About Ms. Latrice Shonta Mallard Mam, Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LATRICE SHONTA MALLARD MAM, APRN, PMHNP-BC (NPI 1225565807) is an individual psychiatric/mental health provider in Kentwood, Louisiana, licensed in Louisiana (229471) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baton Rouge, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Latrice Shonta Mallard Mam, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Latrice Mallard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denham Springs, LA 70726
- Reassigned Medicare billing, Louisiana enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENTWOOD, LA 70444
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Latrice Mallard's NPI number?
The NPI number for Latrice Mallard is 1225565807. It was assigned to this individual provider in the NPPES registry on May 15, 2017.
Where is Latrice Mallard located?
Latrice Mallard practices at 721 Avenue G, Kentwood, LA 70444. The listed phone number is (225) 315-1357.
What is Latrice Mallard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Latrice Mallard enrolled in Medicare?
Yes. Latrice Mallard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Latrice Mallard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latrice Mallard reassigns Medicare benefits to Hiv-Aids Alliance For Region Two (Denham Springs, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latrice Mallard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latrice Mallard accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Latrice Mallard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Latrice Mallard was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Latrice Shonta Mallard, MAM, APRN, PMHNP-BC · NPI 1225565807
Psychiatric/Mental Health physician in Kentwood, Louisiana. Individual provider, active in the CMS NPPES registry since May 15, 2017.
## Identity
- **NPI:** 1225565807 (Entity type: Individual)
- **Enumerated:** May 15, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 229471 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 721 AVENUE G, Kentwood, LA 70444-2601
- **Phone:** (225) 315-1357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hiv-Aids Alliance For Region Two (NPI 1801402433, Denham Springs, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225565807) · Data from the CMS NPPES public registry.