Active NPI
Troi Allison Boulanger, LCSW
- Social Worker
- Santa Fe, NM
National Provider Identifier
1114901212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2025-1303
- Practice address
- 301 S. St. Francis Drive
Unit C
Santa Fe, NM 87501 - Phone
- (207) 761-1160
- Fax
- (207) 761-1160
- NPI assigned
- Dec 1, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC6759 | ME | |
| Social Worker | 104100000X | SWB-2025-1303 | NM | Primary |
Addresses
Primary practice location
301 S. St. Francis Drive
Unit C
Santa Fe, NM 87501
Mailing address
301 S. St. Francis Drive
Unit C
Santa Fe, NM 87501
Phone (207) 761-1160
Other practice location 1
9 Cottage Pl
Westbrook, ME 04092-3507
Phone (207) 761-1160
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SWB-2025-1303 | Other | NM | LICENSE |
| 047604 | Other | ANTHEM | |
| LC6759 | Other | ME | LICENSE |
| 047604 | Other | ANTHEM BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6759 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Past | Accepting new patients | |
| Possibilities Counseling Services, Inc. | Past | Accepting new patients | |
| Transitions Counseling, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Auburn, ME
- NPI 1235209750
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1952360760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1114901212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S. ST. FRANCIS DRIVE",
"address_2": "UNIT C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87501",
"telephone_number": "207-761-1160",
"fax_number": "207-761-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S. ST. FRANCIS DRIVE",
"address_2": "UNIT C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87501",
"telephone_number": "207-761-1160",
"fax_number": "207-761-1160"
}
],
"practiceLocations": [
{
"address_1": "9 Cottage Pl",
"address_purpose": "LOCATION",
"city": "Westbrook",
"state": "ME",
"postal_code": "040923507",
"country_code": "US",
"telephone_number": "207-761-1160",
"fax_number": "207-761-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULANGER",
"first_name": "TROI",
"middle_name": "ALLISON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC6759",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2025-1303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SWB-2025-1303",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "047604",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LC6759",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "047604",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.