Individual provider Active NPI

Barry James Bouillion Jr., LPC

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1952781239
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8606 Issued in LA
Practice address
222 Rue de Jean
Lafayette, LA 70508-3388
Phone
(601) 398-6797
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1970 MS
Professional Counselor 101YP2500X LPC009670 GA
Professional Counselor 101YP2500X 8606 LA Primary

Addresses

Primary practice location

222 Rue de Jean
Lafayette, LA 70508-3388

Mailing address

222 Rue de Jean
Lafayette, LA 70508-3388
Phone (601) 398-6797

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

LicenseStateTypeSpecialty
LPC009670GAMDProfessional Counselor
1970MSMDProfessional Counselor
8606LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry J. Bouillion Jr., Ma, LPC, LMFT, LLC Current Accepting new patients

Locations

3380 Trickum Rd
Bldg 700
Woodstock, GA 30188
Phone (770) 591-4770

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1952781239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 RUE DE JEAN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083388",
            "telephone_number": "601-398-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 RUE DE JEAN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083388",
            "telephone_number": "601-398-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUILLION",
        "first_name": "BARRY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1970",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009670",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.