Active NPI
Barbara Fannie Boutsikaris, MS, LCMHC
- Mental Health Counselor
- Burlington, VT
National Provider Identifier
1275698649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000211
- Practice address
- 2 Church St
Suite 4G
Burlington, VT 05401-4299 - Phone
- (802) 658-7999
- Fax
- (802) 658-7999
- NPI assigned
- Dec 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000211 | VT | Primary |
Addresses
Primary practice location
2 Church St
Suite 4G
Burlington, VT 05401-4299
Mailing address
63 Green St
Burlington, VT 05401-8512
Phone (802) 310-6492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 8, 2024 through Jan 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000211 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275698649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 GREEN ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054018512",
"telephone_number": "802-310-6492",
"fax_number": "802-658-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHURCH ST",
"address_2": "SUITE 4G",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014299",
"telephone_number": "802-658-7999",
"fax_number": "802-658-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTSIKARIS",
"first_name": "BARBARA",
"middle_name": "FANNIE",
"credential": "MS, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.