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RALPH BROUSSARD DOCTORATE
NPI 1104286681
Counselor in Louisville, KY

Active since February 26, 2016
1811 STANDARD AVE, LOUISVILLE, KY 40210(502) 413-0102 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph Broussard Doctorate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALPH BROUSSARD DOCTORATE (NPI 1104286681) is an individual counselor in Louisville, Kentucky and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1104286681
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRALPH BROUSSARDCredential: DOCTORATE
Location Address1811 STANDARD AVELouisville, KY 40210-1639
Mailing Address1811 Standard AveLouisville, KY 40210-1639 · (502) 413-0102
Phone(502) 413-0102
Sole ProprietorNo
Enumeration DateFebruary 26, 2016
✔ NPI 1104286681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1811 STANDARD AVE, Louisville, KY 40210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL RAY JR. BACHELOR
Counselor
1811 STANDARD AVE
LOUISVILLE, KY 40210
Jefferson County (502) 413-0102
GREGG EDWARDS MASTERS DEGREE
Counselor (Addiction (Substance Use Disorder))
1811 STANDARD AVE
LOUISVILLE, KY 40210
Jefferson County (502) 713-0177
MR. CHAD CARTER BACHELOR
Counselor (Pastoral)
1811 STANDARD AVE
LOUISVILLE, KY 40210
Jefferson County (502) 413-0102
CORNER OF HOPE RECOVERY CENTER
Substance Abuse Rehabilitation Facility
1811 STANDARD AVE
LOUISVILLE, KY 40210
Jefferson County (502) 413-0102
WANDA SYLLA
Counselor (Addiction (Substance Use Disorder))
1811 STANDARD AVE
LOUISVILLE, KY 40210
Jefferson County (502) 413-0102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralph Broussard's NPI number?

The NPI number for Ralph Broussard is 1104286681. It was assigned to this individual provider in the NPPES registry on February 26, 2016.

Where is Ralph Broussard located?

Ralph Broussard practices at 1811 Standard Ave, Louisville, KY 40210. The listed phone number is (502) 413-0102.

What is Ralph Broussard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Ralph Broussard accept?

Health plans from Anthem Blue Cross and Blue Shield list Ralph Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ralph Broussard was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.