Aimee J Bustamante, M.ED. , N.C.C., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3356 Issued in LA

Practice address

2200 Veterans Memorial Blvd
Suite 105
Kenner, LA 70062-4001

Phone

(504) 305-4704

NPI assigned

Feb 28, 2007

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

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1689702185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 105",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624001",
            "telephone_number": "504-305-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 105",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624001",
            "telephone_number": "504-305-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "AIMEE",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "M.ED. , N.C.C., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "79797",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Bourgeois Broussard, PHARM. D.
• Samuel Y Brown, MD
• Michael Brunet, CSFA
• Jessica Buchanan
• Olivia Catherine Burns
• Roseland Jarrow Butler
• Tyria M Butler
• Victoria Cade
• Michael Caffery, MD
• Megan J Cahalin

• All providers in Kenner, LA
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.