MS. NICOLE MARIE BOUCHER (NPI# 1093854903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093854903 |
| Entity Type | Individual |
| Full Name | MS. NICOLE MARIE BOUCHER |
| Credential | L.M.H.C. |
| Practice Address |
185 Main Street Suite 22 Spencer MA 01562 |
| Practice Telephone | 5088850788 |
| Practice Fax Number | 5088851388 |
| Mailing Telephone | 5088850788 |
| Mailing Fax Number | 5088851388 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4698 | MA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH000004698CC | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724469 | Nicole Boucher | Physical Therapist | 24 E Chicago Ave, Chicago, IL 60611 | 2016-08-10 |
| 1548511785 | Nicole Boucher | Behavioral Analyst | 72 Jacques Ave, Worcester, MA 01610 | 2012-09-27 |
| 1225317035 | Nicole Boucher | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2011-08-10 |
| 1659674182 | Nicole Lynn Boucher | Nurse Practitioner | 136 Kissane Ave, Suite A, Brighton, MI 48116-2467 | 2010-12-05 |
| 1053530345 | Nicole Renae Boucher | Speech-Language Pathologist | 1702 University Dr S, Fargo, ND 58103-4940 | 2007-04-25 |
| Street Address |
185 MAIN STREET SUITE 22 |
| City | SPENCER |
| State | MA |
| Zip Code | 01562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275671331 | Melissa Jane Ayantota | Counselor | 185 Main Street, Spencer, MA 01562 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699890855 | Carla Lynn Mongiacotti | Registered Nurse | 77 Hastrup Road, Spencer, MA 01562 | 2007-03-20 |
| 1912007964 | Ronald Lane Maclin | Family Medicine | 136 Main Street, Spencer, MA 01562 | 2006-09-22 |
| 1790705432 | Robert Ernest Maloney | Internal Medicine | 118 West Main St, Harrington Physician Services, Spencer, MA 01562 | 2006-07-19 |
| 1912105123 | Town of Spencer | Clinic/Center | 157 Main Street, Spencer, MA 01562 | 2007-07-10 |
| 1134347156 | Spencer-east Brookfield Reg. School Dist. | Local Education Agency (LEA) | 306 Main Street, Spencer, MA 01562 | 2007-04-23 |
| 1467512228 | Arni Bruno Vito Casareale | Counselor | 369 Main St, Spencer, MA 01562 | 2006-12-11 |
| 1407956774 | Leonard A Simonelli Sr. | Optometrist | 230 Main St, Spencer, MA 01562 | 2006-09-25 |
| 1699875039 | Cvs Pharmacy Inc | Pharmacy | 131 Main St, Spencer, MA 01562 | 2006-09-25 |
| 1417916875 | John C Batbouta | Internal Medicine | 407 Main St, Spencer, MA 01562 | 2006-03-22 |
| 1326027251 | Tehan C Cusimano | Physician Assistant | 407 Main St, Spencer, MA 01562 | 2006-01-10 |
| Find all providers in zip 01562 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164985974 | Jennifer Thomas | Counselor | 8917 Cecile Pl, Spencer, OK 73084-3529 | 2019-04-09 |
| 1629434238 | Sharane Olds | Counselor | 3554 Spencer Rd, Spencer, OK 73084-3237 | 2016-01-12 |
| 1144642372 | Linda Jacobs | Counselor | 8913 Cecile Pl, Spencer, OK 73084-3529 | 2014-01-07 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1699108886 | Patricia Re'na Maten | Counselor | 8624 Ne 33rd St, Spencer, OK 73084-3253 | 2013-08-12 |
| 1629314380 | Kayla S Frost | Counselor | 12629 Ne 38th St, Spencer, OK 73084-9156 | 2012-12-27 |
| 1871847269 | Sheryle Portis | Counselor | 2808 Zachary Pl, Spencer, OK 73084-3500 | 2012-11-06 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1477813020 | Deitra Ann Woody | Counselor | 10920 Ne 52nd St, Spencer, OK 73084-5217 | 2012-05-16 |
| 1972862985 | Quanton D Ware | Counselor | 8321 Ne 33rd St, Spencer, OK 73084-3103 | 2012-05-10 |
| Find all providers in SPENCER | ||||
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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.