Martha Liliana Bujanda, LPC

Key facts

NPI

1144734898

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

1552 (LA)

Practice address

5817 Citrus Blvd Ste N
Harahan, LA 70123-5845

Phone

(504) 464-0555

Fax

(504) 469-1776

NPI assigned

Nov 16, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 16, 2017.

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1144734898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 CITRUS BOULEVARD",
            "address_2": "SUITE N",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-464-0555",
            "fax_number": "504-469-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 CITRUS BLVD STE N",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701235845",
            "telephone_number": "504-464-0555",
            "fax_number": "504-469-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUJANDA",
        "first_name": "MARTHA",
        "middle_name": "LILIANA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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