Active NPI
Danielle Boudreaux
- Professional Counselor
- Covington, LA
National Provider Identifier
1073384772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6272
- Practice address
- 201 Greenbrier Blvd
Covington, LA 70433-7236 - Phone
- (985) 893-2970
- Fax
- (985) 249-7782
- NPI assigned
- Jan 11, 2024
- Last updated
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6272 | LA | Primary |
Addresses
Primary practice location
201 Greenbrier Blvd
Covington, LA 70433-7236
Mailing address
201 Greenbrier Blvd
Covington, LA 70433-7236
Phone (985) 893-2970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6272 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1073384772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 GREENBRIER BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337236",
"telephone_number": "985-893-2970",
"fax_number": "985-249-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 GREENBRIER BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337236",
"telephone_number": "985-893-2970",
"fax_number": "985-249-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAUX",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.