Laurel Grace Mental Health and Wellness
NPI 1154024966 · Psychiatric/Mental Health Nurse Practitioner · Thonotosassa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laurel Grace Mental Health and Wellness is a Psychiatric/Mental Health Nurse Practitioner organization in Thonotosassa, FL (NPI 1154024966).
Provider details
- NPI number
- 1154024966
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lalencia Matthews, Ceo(612) 388-4661
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-03-22
- Certified
- 2023-03-22
Frequently asked questions
- What is Laurel Grace Mental Health and Wellness's NPI number?
- Laurel Grace Mental Health and Wellness's National Provider Identifier (NPI) is 1154024966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Laurel Grace Mental Health and Wellness?
- Laurel Grace Mental Health and Wellness is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Laurel Grace Mental Health and Wellness located?
- Laurel Grace Mental Health and Wellness's practice location on file with NPPES is 9614 Troncais Cir, Thonotosassa, FL 33592-3412.
- What is Laurel Grace Mental Health and Wellness's phone number?
- The practice phone number listed in the NPPES registry for Laurel Grace Mental Health and Wellness is (612) 388-4661.
- Does Laurel Grace Mental Health and Wellness accept Medicare?
- Laurel Grace Mental Health and Wellness is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Laurel Grace Mental Health and Wellness?
- The authorized official listed on Laurel Grace Mental Health and Wellness's NPPES record is Lalencia Matthews, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Laurel Grace Mental Health and Wellness's NPI active?
- Yes — Laurel Grace Mental Health and Wellness's NPI (1154024966) is active in the NPPES registry as of the last update on 2023-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.