Active NPI
Julie C. Breaux, LPC
- Professional Counselor
- Ponchatoula, LA
National Provider Identifier
1780227348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4602
- Practice address
- 28316 Rose Oak St
Ponchatoula, LA 70454-8126 - Phone
- (985) 792-5260
- NPI assigned
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 4602 | LA | Primary |
Addresses
Primary practice location
28316 Rose Oak St
Ponchatoula, LA 70454-8126
Mailing address
28316 Rose Oak St
Ponchatoula, LA 70454-8126
Phone (985) 792-5260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4602 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1780227348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28316 ROSE OAK ST",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704548126",
"telephone_number": "985-792-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28316 ROSE OAK ST",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704548126",
"telephone_number": "985-792-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "JULIE",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.