Wyanicka Broussard

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5144 E Sam Houston Pkwy N Ste 114
Houston, TX 77015-3225

Phone

(346) 327-5161

Fax

(186) 693-6453

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Inspire Counseling & Therapy PLLC

  • Case Management Agency
  • Houston, TX
  • NPI 1356919922
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1689226532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 E SAM HOUSTON PKWY N STE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153225",
            "telephone_number": "346-327-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 E SAM HOUSTON PKWY N STE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153225",
            "telephone_number": "346-327-5161",
            "fax_number": "186-693-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "WYANICKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Broussard, LPC
• Nicole Broussard, LCSW
• Stephanie L Broussard, NNP
• Steven Bennett Broussard, BT
• Tameka Michelle Broussard, M.D.
• Yulene Broussard, MS, LOT
• Hannah Brouwer, MS, PA-C
• Stacy Kayla Brouwer, MS, RD, LD
• Wendy Salinas Brouwer, MSN, RN-C, WHNP
• Shannon Irene Brow, DNP , APRN, FNP-C

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.