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ALEXANDREA MAE BROUSSARD
NPI 1619635612
Counselor - Professional in Lake Charles, LA

Active since December 07, 2021
1202 KIRKMAN ST STE C, LAKE CHARLES, LA 70601(337) 990-5305(337) 990-5306 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, Feb 2, 2023, Jan 19, 2023 and 1 more (4 updates tracked since 2021).

About Alexandrea Mae Broussard NPPES

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

ALEXANDREA MAE BROUSSARD (NPI 1619635612) is an individual professional provider in Lake Charles, Louisiana, licensed in Louisiana (9273) and active in the NPI registry since December 2021. She maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1619635612
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALEXANDREA MAE BROUSSARD
Location Address1202 KIRKMAN ST STE CLake Charles, LA 70601-5391
Mailing Address1202 Kirkman St Ste CLake Charles, LA 70601-5391 · (337) 990-5305 · Fax (337) 990-5306
Phone(337) 990-5305
Fax(337) 990-5306
Sole ProprietorNo
Enumeration DateDecember 7, 2021
Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1619635612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 9273
Also ListedCounselorTaxonomy 101Y00000X · License PLC9273 (LA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PLC9273 (LA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1202 KIRKMAN ST STE C, Lake Charles, LA 70601
Open in Google Maps ↗

Secondary Practice Location 1

Location 1710 Versailles BlvdAlexandria, LA 71303-2351 · Phone (318) 449-4474

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Other Providers at the Same Location NPPES 20

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

MR. KEITH R JONES II
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (225) 939-7375
ASHLEY JANAE MARTIN
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 532-7955
TAI NACHELLE COLEMAN BA
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 990-5305
BIANCA JACKSON
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 990-5305
LINDA MARIELA HURTADO GONZALEZ
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 990-5305
MADISON LEWIS
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 990-5305
AUDREANA MONIQUE SILVA
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 990-5305
VERONICA DANIELLE BOURGEOIS
Case Manager/Care Coordinator
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 990-5305

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 Alexandrea Broussard's NPI number?

The NPI number for Alexandrea Broussard is 1619635612. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Alexandrea Broussard located?

Alexandrea Broussard practices at 1202 Kirkman St Ste C, Lake Charles, LA 70601. The listed phone number is (337) 990-5305.

What is Alexandrea Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Alexandrea Broussard accept?

Health plans from AmeriHealth Caritas Next list Alexandrea 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 Alexandrea Broussard was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.