Justin Broussard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5425 Galeria Dr Ste C
Baton Rouge, LA 70816-8004

Phone

(225) 223-6153

NPI assigned

Dec 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Youth Empowerment Solutions, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1326561903
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1881164705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 GALERIA DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168004",
            "telephone_number": "225-223-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 GALERIA DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168004",
            "telephone_number": "225-223-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda S Broussard, CNM
• Gerard J. Broussard, MD
• Jaycee Broussard
• Jill Broussard, PT
• Joan Broussard, PHARM.D.
• Katrina D Broussard
• Kennedy Broussard, LMSW
• Kristen Files Broussard, FNP-C
• Kristy Smith Broussard, NNP
• Lauren Causey Broussard, NP

• Mental Health Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.