Individual provider Active NPI

Suzanne Bouchard, LMHC

  • Mental Health Counselor
  • Scarsdale, NY
National Provider Identifier
1114485992
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009072-1 Issued in NY
Practice address
10 Church LN
Scarsdale, NY 10583-4216
Phone
(845) 206-9793
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009072-1 NY Primary

Addresses

Primary practice location

10 Church LN
Scarsdale, NY 10583-4216

Mailing address

88 Foundry Pond Rd
Cold Spring, NY 10516-4018
Phone (845) 206-9793

Other practice location 1

1181 North Ave
Beacon, NY 12508-1700
Phone (845) 206-9793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009072-1NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1114485992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 FOUNDRY POND RD",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105164018",
            "telephone_number": "845-206-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHURCH LN",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834216",
            "telephone_number": "845-206-9793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 North Ave",
            "address_purpose": "LOCATION",
            "city": "Beacon",
            "state": "NY",
            "postal_code": "125081700",
            "country_code": "US",
            "telephone_number": "845-206-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "SUZANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009072-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.