Emily Rose Boudreaux, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC15456 Issued in PA

Practice address

70 W Beaver St
Zelienople, PA 16063-1582

Phone

(724) 900-4130

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1144922303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BERKLEY MANOR DR",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160668111",
            "telephone_number": "337-331-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W BEAVER ST",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631582",
            "telephone_number": "724-900-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC15456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Marie Blough, RPH.
• Lindsay Boehler
• Erica Beth Boltz, MS
• Jeremiah Bondra, D.M.D.
• Jeffrey James Borandi, DMD
• Kaitlyn R Brazauskas, MS, CCC-SLP
• Rebecca Bream
• Lisa A Brink, LPC
• Michael Brondum, P.T.
• Christina Burke, PT

• Professional Counselor in Zelienople, PA
• Providers in Zelienople, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.