Djenne Boutrin

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC020998 Issued in PA

Practice address

6712 Ridge Ave Unit 201
Philadelphia, PA 19128-2430

Phone

(347) 776-0330

NPI assigned

Sep 26, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1124931415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 RIDGE AVE UNIT 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282430",
            "telephone_number": "347-776-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 RIDGE AVE UNIT 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282430",
            "telephone_number": "347-776-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTRIN",
        "first_name": "DJENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC020998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Bourque
• Murielle M Boursiquot, MA
• Katharine Bouser, MS, CCC-SLP
• Megan E Bousquet, MA, ATR, LPC
• Regine Boutin, MD
• Taariq Bouy, M.A.
• Stacyann Bovell
• John J Bowden Jr., DO
• Heather Ann Bowditch, OTR/L
• Patricia M. Bowe, RN

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.