MRS. CARLA N BOUDREAUX (NPI# 1043543085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043543085 |
| Entity Type | Individual |
| Full Name | MRS. CARLA N BOUDREAUX |
| Other Name | MISS CARLA R NOBLES |
| Credential | LPC-S |
| Practice Address |
1615 Johnson St Ste C Jennings LA 70546-3650 |
| Practice Telephone | 3376160225 |
| Practice Fax Number | 3376160226 |
| Mailing Telephone | 3376160225 |
| Mailing Fax Number | 3376160226 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2659 | LA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2659 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1615 JOHNSON ST STE C |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686627 | Kiala Singleton | Case Manager/Care Coordinator | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2019-12-17 |
| 1861054728 | Yolanda Poullard | Case Manager/Care Coordinator | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2019-07-01 |
| 1962966564 | Stacy Nixon | Licensed Practical Nurse | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2019-01-28 |
| 1134671027 | Lanore Spain | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2016-10-26 |
| 1972977999 | Amy Cormier | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-16 |
| 1952775918 | Berkina Prudhomme | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-13 |
| 1902279565 | Michael Guillory | Social Worker | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-04 |
| 1235502055 | Tiffany Nash | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-02 |
| 1588036453 | James Mrak | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-10-30 |
| 1043682966 | Shelly Lewis | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376936716 | Trisha L Seilhan | Counselor | 108 5th St, Jennings, LA 70546-4716 | 2015-03-10 |
| 1073794004 | Kay Frazier Bush | Counselor | 415 N Cutting Ave, Jennings, LA 70546-5963 | 2007-11-19 |
| 1700364932 | Neva Hebert | Counselor | 1615 Johnson St, Jennings, LA 70546-3650 | 2018-07-31 |
| 1821464165 | Sylvia Burgess | Counselor | 1615 Johnson St, Jennings, LA 70546-3650 | 2015-08-20 |
| 1851649610 | Michael F. Monic M.a., Lpc, Inc. | Counselor | 714 N Main St, Jennings, LA 70546-5312 | 2012-08-27 |
| 1942366505 | Michael Francis Monic | Counselor | 714 N Main St, Suite B, Jennings, LA 70546-5312 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363202 | Allison Gregerson | Counselor | 5016 Ithaca St, Metairie, LA 70006-2540 | 2020-10-14 |
| 1437766573 | Always Hope LLC | Counselor | 38105 Post Office Rd Ste 8, Prairieville, LA 70769-4296 | 2020-09-23 |
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
| 1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
| 1700495538 | Michelle Waguespack | Counselor | 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 | 2020-07-28 |
| 1093323214 | Scott Moran | Counselor | 902 C M Fagan Dr Ste F, Hammond, LA 70403-6043 | 2020-07-14 |
| 1700404175 | Gerard Williams | Counselor | 2621 Long Branch Dr, Marrero, LA 70072-5854 | 2020-07-11 |
| 1356966899 | Carey Bergeron | Counselor | 9721 Paula Dr, River Ridge, LA 70123-1915 | 2020-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.