Active NPI
Aprille Boudreau, PH.D.
- Professional Counselor
- Fort Polk, LA
National Provider Identifier
1255743936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10614
- Practice address
- 5513 B Gardner Dr.
Fort Polk, LA 71459 - Phone
- (337) 404-3421
- NPI assigned
- May 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10579 | FL | |
| Professional Counselor | 101YP2500X | 10614 | NC | Primary |
Addresses
Primary practice location
5513 B Gardner Dr.
Fort Polk, LA 71459
Mailing address
5513 B Gardner Dr.
Fort Polk, LA 71459
Phone (337) 404-3421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10579 | FL | MD | Mental Health Counselor |
| 10614 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1255743936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5513 B GARDNER DR.",
"city": "FORT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "337-404-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5513 B GARDNER DR.",
"city": "FORT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "337-404-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAU",
"first_name": "APRILLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "10579",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "10614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.