Alison Boughn, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

20182 Issued in SD

Practice address

1700 Burleigh St
Yankton, SD 57078-2418

Phone

(605) 260-9284

NPI assigned

Feb 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Education and Counseling Center

  • Community/Behavioral Health Agency
  • Yankton, SD
  • NPI 1518116110
  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1114559481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BURLEIGH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782418",
            "telephone_number": "605-260-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BURLEIGH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782418",
            "telephone_number": "605-260-9284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511051917",
            "country_code": "US",
            "telephone_number": "712-279-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUGHN",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "083869",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "20182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518116110",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee A. Boehrns, PA-C
• Kimberly Kari Bornitz, PTA
• Borowski Family Dentistry PLLC
• Theophilus Borketey Bortier, MD
• Joseph R Boudreau, M.D.
• Justin Lee Boulware
• Collette Bowman
• Shanna Brahmer
• Stacy A Brandt, APRN-NP
• Marlin R Braun, DC

• All providers in Yankton, SD
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.