Claudette T Blackburn, LPC, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1123 Issued in LA

Practice address

28011 Crowley Eunice Hwy
Eunice, LA 70535-7515

Phone

(337) 581-6294

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1891452538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-468-0500",
            "fax_number": "337-468-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28011 CROWLEY EUNICE HWY",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705357515",
            "telephone_number": "337-581-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "CLAUDETTE",
        "middle_name": "T",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eunice",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Eunice",
            "address_1": "28011 Crowley Eunice Hwy",
            "city": "Eunice",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705357515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Lomas Bellon, NP
• Shelbie Lee Bergeaux, MA
• Victor Manuel Bermudez
• Nicholas J Bertrand, PT, DPT
• Bio-Medical Applications of Louisiana, LLC (FMC Eunice)
• Blu Magnolia Wellness LLC
• Bodywise of Eunice LLC
• Rebekah Julee Bordelon, PA-C
• Glenn Borne, MD
• Jake A Bourque, PHARM.D.

• Addiction (Substance Use Disorder) Counselor in Eunice, LA
• Providers in Eunice, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.