Crystal Lee Breaux, B.S.; CIT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

401 W Vermilion St
Lafayette, LA 70501-6729

Phone

(337) 345-6120

Fax

(337) 524-1419

NPI assigned

Feb 1, 2019

Sex

Female

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

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.

• Acadiana Recovery and Rehab Center

  • Substance Abuse Rehabilitation Facility
  • Lafayette, LA
  • NPI 1023459559
  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1770048902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W VERMILION ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016729",
            "telephone_number": "337-345-6120",
            "fax_number": "337-524-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W VERMILION ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016729",
            "telephone_number": "337-345-6120",
            "fax_number": "337-524-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "B.S.; CIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "4130",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Breaux
• Avery Breaux
• Carl J Breaux, D.D.S.
• Catherine Allemond Breaux, LPC
• Celeste Angelle Breaux
• Edgar Paul Breaux III, M.D.
• Edward F Breaux, M.D.
• Emily Breaux, FNP-C
• Jacob Lee Breaux, M.D.
• Jason A Breaux, MD

• All providers in Lafayette, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.