Active NPI
Suzanne Bouchard, LMHC
- Mental Health Counselor
- Scarsdale, NY
National Provider Identifier
1114485992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009072-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009072-1 | NY | MD | Mental 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.