MRS. KRISTI LYNN BOUCHER (NPI# 1487781746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487781746 |
| Entity Type | Individual |
| Full Name | MRS. KRISTI LYNN BOUCHER |
| Credential | LPC |
| Practice Address |
Delaware County Professional Services 1055 E Baltimore Pike Suite 303 Media PA 19063 |
| Mailing Address |
1204 Holly Lane Glen Mills PA 19342 |
| Practice Telephone | 6108923800 |
| Practice Fax Number | 4844681412 |
| Mailing Telephone | 6108923800 |
| Mailing Fax Number | 4844681412 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC004354 | PA | Behavioral Health & Social Service Providers |
| Street Address |
DELAWARE COUNTY PROFESSIONAL SERVICES 1055 E BALTIMORE PIKE SUITE 303 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198350 | Kaitlyn Hughes | Counselor | 1055 E Baltimore Pike Ste 301&303, Media, PA 19063-5173 | 2020-09-10 |
| 1265064125 | Jennifer Kathryn Mccullough | Counselor | 1088 W Baltimore Pike Ste 2403, Media, PA 19063-5166 | 2020-02-09 |
| 1790315000 | Marie Miller | Counselor | 601 N Olive St, Media, PA 19063-2548 | 2020-01-26 |
| 1073158333 | Edward J Friel Iv | Counselor | 206 Northbrook Dr, Media, PA 19063-5124 | 2019-11-11 |
| 1295280592 | Lauren Marie Kossler | Counselor | 318 W Baltimore Ave, 3rd Floor, Media, PA 19063-3601 | 2016-08-17 |
| 1427433481 | Danielle Henderson | Counselor | 107 Chesley Dr Ste 2, Media, PA 19063-1760 | 2015-07-20 |
| 1174907901 | Megan Eileen Stitz | Counselor | 10 W Front St, Media, PA 19063-3306 | 2015-07-10 |
| 1114338878 | Lauren Farley | Counselor | 14 S Orange St, Media, PA 19063 | 2014-05-15 |
| 1053619288 | Taracolleen Macatee | Counselor | 6 Northgate Vlg, Media, PA 19063-2040 | 2011-03-11 |
| 1922304930 | Melissa Christne O'neill | Counselor | 20 S Olive St Ste 202a, Media, PA 19063-3228 | 2011-02-09 |
| Find all providers in MEDIA | ||||
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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.