MRS. NOMPELELO KHUMALO BOUCHER (NPI# 1629128012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629128012 |
| Entity Type | Individual |
| Full Name | MRS. NOMPELELO KHUMALO BOUCHER |
| Credential | LMHC |
| Practice Address |
68 Cumberland Street Suite 102 Woonsocket RI 02895-5449 |
| Mailing Address |
9 Rustic Ln Cumberland RI 02864-1141 |
| Practice Telephone | 4013561940 |
| Mailing Telephone | 6177912645 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
9201 | MA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHC00708 | RI | Behavioral Health & Social Service Providers |
| Street Address |
68 CUMBERLAND STREET SUITE 102 |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-5449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962502732 | Thomas M Sheehan | Optometrist | 68 Cumberland Street, Suite 205, Woonsocket, RI 02895-3323 | 2006-09-22 |
| 1972745248 | Shayron Saunders | Physician Assistant | 68 Cumberland Street, Suite 103, Woonsocket, RI 02895 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| 1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
| 1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
| 1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
| 1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
| 1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
| 1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
| 1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
| Find all providers in zip 02895 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429830 | Healing Through Support | Counselor | 249 Winter St, Woonsocket, RI 02895-1046 | 2018-08-30 |
| 1003050121 | Kristy Moles | Counselor | 800 Clinton St Ste 301, Woonsocket, RI 02895 | 2009-04-21 |
| 1427181171 | Diane L Hamel | Counselor | 141 Olo St, Woonsocket, RI 02895-8702 | 2007-03-13 |
| 1639701659 | Laura Tuscani | Counselor | 450 Clinton St, Woonsocket, RI 02895-3207 | 2020-02-07 |
| 1629611363 | Kelli Li | Counselor | 31 Orchard St, Woonsocket, RI 02895-5133 | 2019-10-25 |
| 1972145365 | Rudorwashe Elizabeth Cusack | Counselor | 154 Main St, Woonsocket, RI 02895-4469 | 2019-10-17 |
| 1982168894 | Jeanine-trinh Le-kreuzer | Counselor | 181 Cumberland St, Woonsocket, RI 02895-3301 | 2019-01-24 |
| 1831623164 | Courtney D'angelo | Counselor | 68 Cumberland St, #102, Woonsocket, RI 02895-3300 | 2017-04-13 |
| 1538603923 | Meredith Bergeron Piti | Counselor | 450 Clinton St, Woonsocket, RI 02895-3207 | 2016-12-05 |
| 1467820183 | Laura Egerton | Counselor | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2015-09-11 |
| Find all providers in WOONSOCKET | ||||
| City | WOONSOCKET |
| Zip Code | 02895 |
Please comment or provide details below to improve the information on MRS. NOMPELELO KHUMALO 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.