Individual provider Active NPI

Sopeep Bou

  • Counselor
  • Boston, MA
National Provider Identifier
1124667050
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
55 Court St Ste 220B
Boston, MA 02108-2104
Phone
(857) 957-6820
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Peer Specialist 175T00000X MA

Addresses

Primary practice location

55 Court St Ste 220B
Boston, MA 02108-2104

Mailing address

55 Court St Ste 220B
Boston, MA 02108-2104
Phone (857) 957-6820

Other practice location 1

373 Main St
Saugus, MA 01906-3150
Phone (978) 473-0122

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Tech Inc Peer Specialist PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1124667050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COURT ST STE 220B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082104",
            "telephone_number": "857-957-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COURT ST STE 220B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082104",
            "telephone_number": "857-957-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 Main St",
            "address_purpose": "LOCATION",
            "city": "Saugus",
            "state": "MA",
            "postal_code": "019063150",
            "country_code": "US",
            "telephone_number": "978-473-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOU",
        "first_name": "SOPEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.