JANNIFER L BOUCHER (NPI# 1588994800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588994800 |
| Entity Type | Individual |
| Full Name | JANNIFER L BOUCHER |
| Credential | LPC |
| Practice Address |
1905 19th St Great Bend KS 67530-2502 |
| Practice Telephone | 6207925700 |
| Practice Fax Number | 6207925742 |
| Mailing Telephone | 6207925700 |
| Mailing Fax Number | 6207925742 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAC 107 | KS | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC 864 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1905 19TH ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014990 | Bradley J Hill | Physician Assistant | 1905 19th St, Great Bend, KS 67530-2502 | 2005-06-24 |
| 1497369318 | Nora Kathleen Nokes | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2020-09-08 |
| 1427668334 | Le Ann M Petersilie | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2020-08-05 |
| 1679052633 | Jessie M Sloan | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2018-08-10 |
| 1891200952 | Amy Nicole Wetzel | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2017-12-11 |
| 1821446568 | Arika Fanshier | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2016-06-02 |
| 1982099685 | Deana J Schwartzkopf | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2015-03-31 |
| 1053704361 | Jose Luis Renteria | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2015-03-11 |
| 1942574512 | Amber N Wilder | Counselor | 1905 19th St, Great Bend, KS 67530-2502 | 2012-02-29 |
| 1538462239 | Rita Ann O'gwin | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2010-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1639296759 | Kelley Lynn Johnson | Counselor | 155 Se 1 Ave, Great Bend, KS 67530-9696 | 2007-03-23 |
| 1629523386 | Marcus Herrera | Counselor | 2008 11th St, Great Bend, KS 67530-4476 | 2016-08-23 |
| 1235507617 | Alisha Bell-markley | Counselor | 1819 11th St, Great Bend, KS 67530-4511 | 2015-09-02 |
| 1902282635 | Heather Enochs | Counselor | 155 Se 1 Ave, Great Bend, KS 67530-9696 | 2015-08-04 |
| 1467755017 | Gordon F Pfannenstiel | Counselor | 5815 Broadway, Great Bend, KS 67530-3123 | 2010-12-20 |
| 1831360817 | Leonard A Kaiser | Counselor | 5815 Broadway, Great Bend, KS 67530 | 2008-03-18 |
| 1265631154 | Laura N Haugaard | Counselor | 5815 Broadway, Great Bend, KS 67530-3123 | 2007-07-12 |
| Find all providers in GREAT BEND | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on JANNIFER L BOUCHER.
| 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.