Ryan Earl Boudreaux

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLC10351 Issued in LA

Practice address

2829 4TH Ave Ste 215
Lake Charles, LA 70601-7887

Phone

(337) 707-3872

NPI assigned

Oct 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acadian Holistic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1275240228
  NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1487435442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROAD ST # 213",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014335",
            "telephone_number": "337-707-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 4TH AVE STE 215",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017887",
            "telephone_number": "337-707-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "RYAN",
        "middle_name": "EARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC10351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Boudreaux, APRN
• Candice Alea Boudreaux
• Erin Elizabeth Boudreaux, PA-C
• John Dalton Boudreaux, MA
• Megan Lyn Boudreaux
• Boudreaux'S New Drug Store, LLC
• Regina Bougie, FNP
• Seth Matthew Boullion, DPT
• Jacqueline Bourassa
• Lauren Bourgeois, NP-C

• Mental Health Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.