Individual provider Active NPI

Cirstie Beaubouef, LPC

  • Mental Health Counselor
  • Breaux Bridge, LA
National Provider Identifier
1780169615
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8043 Issued in LA
Practice address
2309 Grand Point Rd
Breaux Bridge, LA 70517-3323
Phone
(337) 935-2310
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 8043 LA Primary

Addresses

Primary practice location

2309 Grand Point Rd
Breaux Bridge, LA 70517-3323

Mailing address

2309 Grand Point Rd
Breaux Bridge, LA 70517-3323
Phone (337) 315-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8043LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Counseling & Consulting LLC Mental Health CurrentSince Oct 30, 2022 Accepting new patients
Wellness Clinic Psychiatry, LLC PastSince Mar 1, 2016 Accepting new patients
Mary Toups, LPC, NCC, LLC Mental Health PastSince Oct 30, 2022 Accepting new patients

Locations

2309 Grand Point Rd
Breaux Bridge, LA 70517
Phone (337) 935-2310

525 E Bridge St
Breaux Bridge, LA 70517
Phone (337) 232-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1780169615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 GRAND POINT RD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173323",
            "telephone_number": "337-315-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 GRAND POINT RD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173323",
            "telephone_number": "337-935-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUBOUEF",
        "first_name": "CIRSTIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "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": "8043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.