John Boudreaux, MA
NPI 1417669763 · Professional Counselor · Lake Charles, LA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Boudreaux, MA is a Professional Counselor provider in Lake Charles, LA (NPI 1417669763).
Provider details
- NPI number
- 1417669763
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- License
- 8871 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1925 Enterprise BlvdLake Charles, LA 70601-6371Phone: (337) 429-5129Fax: (337) 214-2077
- 2651 E Napoleon StSulphur, LA 70663-3707Phone: (337) 625-6750
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is John Boudreaux's NPI number?
- John Boudreaux's National Provider Identifier (NPI) is 1417669763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Boudreaux's specialty?
- John Boudreaux is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is John Boudreaux located?
- John Boudreaux's practice location on file with NPPES is 4105 Kirkman St, Lake Charles, LA 70607-4603.
- What is John Boudreaux's phone number?
- The practice phone number listed in the NPPES registry for John Boudreaux is (337) 475-3105.
- Does John Boudreaux accept Medicare?
- John Boudreaux is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Boudreaux's NPI active?
- Yes — John Boudreaux's NPI (1417669763) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.