Joy Bouchard, CSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8494330-3506 Issued in UT

Practice address

1933 N 1120 W
Provo, UT 84604-1044

Phone

(801) 683-6830

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

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

Opted out of Medicare

Yes, effective Mar 14, 2024 through Mar 14, 2028

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lotus Rose Counseling

  • Clinical Social Worker
  • Orem, UT
  • NPI 1427829902
  NPD Authorized official
• New Beginnings Counseling Group

  • Marriage & Family Therapist
  • American Fork, UT
  • NPI 1831756360

  Clinical

  NPD (past)

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1154943868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W 250 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846609296",
            "telephone_number": "801-921-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 N 1120 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041044",
            "telephone_number": "801-683-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "CSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8494330-3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Lynn Boozenny
• Jazmin Borda
• Heather Boren
• Yetta Borgesen, LCSW
• Bryce John Bott, D.M.D.
• Bailey Bounds
• Callie Marie Bowden
• Jennifer Renee Bowen, BSW
• Keshia Bowers, CSW
• Marc Vincent Bowers, DC

• Clinical Social Worker in Provo, UT
• Providers in Provo, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.