Active NPI
Brittany Diane Boudreaux, MS, NCC
- Professional Counselor
- Pearland, TX
National Provider Identifier
1982386264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 92421
- Practice address
- 11601 Shadow Creek Pkwy Ste 111-659
Pearland, TX 77584-7283 - Phone
- (713) 581-4527
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 92421 | TX | Primary |
Addresses
Primary practice location
11601 Shadow Creek Pkwy Ste 111-659
Pearland, TX 77584-7283
Mailing address
PO Box 1683
Houston, TX 77251-1683
Phone (832) 978-2514
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92421 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Counseling and Wellness, LLC | Current | Accepting new patients | |
| Moon Wellness Space | Current | Accepting new patients |
Locations
11601 Shadow Creek Pkwy
Ste 111659
Pearland, TX 77584
Phone (713) 581-4527
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1285442384
-
- Mental Health Counselor
- Pearland, TX
- NPI 1710577879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1982386264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1683",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772511683",
"telephone_number": "832-978-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 SHADOW CREEK PKWY STE 111-659",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847283",
"telephone_number": "713-581-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAUX",
"first_name": "BRITTANY",
"middle_name": "DIANE",
"credential": "MS, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.