Laura Perez Boudreaux, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60109 Issued in TX

Practice address

8614 Quail Vista Dr
Missouri City, TX 77489-5332

Phone

(832) 775-3079

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1821240482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17611",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "832-775-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 QUAIL VISTA DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895332",
            "telephone_number": "832-775-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "LAURA",
        "middle_name": "PEREZ",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206832202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bold Spirit Counseling, PLLC
• Miriam Bolos
• Brenda Itzel Bonola
• Boost Health and Wellness Clinic
• Michelle Marie Borysko, B.S.P.
• Tammy Jo Boudreaux
• Emilia Bowers
• Ora L Boxie, RN, MA, CCC
• Lindsey Bradford, C.PHT
• Stephen Bradford II, CHW

• Professional Counselor in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.