Brittany Jean Broussard, CIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5154 Issued in LA

Practice address

1513 Line Ave Ste 111
Shreveport, LA 71101-4651

Phone

(318) 408-9929

Fax

(318) 408-9937

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brittany Jean Broussard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1063134237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 RIVIERA ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077516",
            "telephone_number": "318-265-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 LINE AVE STE 111",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014651",
            "telephone_number": "318-408-9929",
            "fax_number": "318-408-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113321",
            "country_code": "US",
            "telephone_number": "318-377-1072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 S Vienna St",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712706428",
            "country_code": "US",
            "telephone_number": "318-224-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 S Farmerville St",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712704654",
            "country_code": "US",
            "telephone_number": "318-548-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "BRITTANY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "CIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BROUSSARD",
            "middle_name": "JEAN",
            "credential": "SPIVEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine Marie Brossett
• Andrew Joseph Brouillette, DDS
• Bruce P. Brouillette, MD
• Rose Marie Brouillette, M.D.
• Andre Paul Broussard, MD
• Daryn Broussard, LPC
• Jason Broussard, D.O.
• Marlene Marie Broussard, M.D.
• Philip Brandon Broussard I, CIT
• Sherry Broussard, MA

• All providers in Shreveport, LA
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.