Catrina Broussard, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC8050 Issued in LA

Practice address

1003 Hugh Wallis Rd S BLDG E
Lafayette, LA 70508-2528

Phone

(337) 380-3844

Fax

(337) 534-8141

NPI assigned

Jan 31, 2022

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective May 28, 2024 through May 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1881347714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HUGH WALLIS RD S BLDG E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082528",
            "telephone_number": "337-380-3844",
            "fax_number": "337-534-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HUGH WALLIS RD S BLDG E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082528",
            "telephone_number": "337-380-3844",
            "fax_number": "337-534-8141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Kaliste Saloom Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705084230",
            "country_code": "US",
            "telephone_number": "337-534-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "CATRINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "LPC8050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Broussard, MD
• Brakeisha Lashay Broussard, LVN
• Brian J Broussard, CRNA
• Bridget Broussard
• Cassie Broussard, FNP-BC, PMHNP-BC DNP
• Charles Stewart Broussard, LAC
• Charlie Broussard
• Chelsea Broussard
• Ciara Broussard
• Cinderella Marie Broussard, RN

• Professional Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.