D'Juan Buckner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ACEP7392 Issued in LA

Practice address

602 Main St Ste 113
Pineville, LA 71360-6936

Phone

(318) 792-2436

NPI assigned

Apr 24, 2024

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1558117259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CENTURY VILLAGE BLVD STE 256",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032008",
            "telephone_number": "318-415-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAIN ST STE 113",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606936",
            "telephone_number": "318-792-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "D'JUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "ACEP7392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedra Alesh Brown, LMSW
• Marceline Brown, PH.D.
• Warren P Brumfield, DDS
• Michael Brunet II
• Myron Bryant, APRN, PMHNP-BC, LPC
• Brian Edward Buckoski, KT
• Vinh Cong Bui, PHARM.D
• Alycia Dee Burch, BCBA, LBA
• Laquonda Burise
• Daultin Burkett, DPT

• Mental Health Counselor in Pineville, LA
• Providers in Pineville, 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 Apr 24, 2024; 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.