Individual provider Active NPI

Joseph Bouchard, LMHC

  • Mental Health Counselor
  • Cranston, RI
National Provider Identifier
1437715471
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MCH01003 Issued in RI
Practice address
1145 Reservoir Avenue
Unit 305
Cranston, RI 02920-6000
Phone
(401) 573-9330
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X RI
Mental Health Counselor 101YM0800X MCH01003 RI Primary

Addresses

Primary practice location

1145 Reservoir Avenue
Unit 305
Cranston, RI 02920-6000

Mailing address

1145 Reservoir Avenue
Unit 305
Cranston, RI 02920-6000
Phone (401) 573-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815002349 RI Practitioner - Mental Health Counselor 2567961626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians

Practice addresses (Care Compare)

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCH01003RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care I of Rhode Island PC CurrentSince Jul 15, 2025 Accepting new patients
Inner You LLC PastSince Jan 1, 2015 Accepting new patients
The Inner You Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1437715471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 RESERVOIR AVENUE",
            "address_2": "UNIT 305",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206000",
            "telephone_number": "401-573-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 RESERVOIR AVENUE",
            "address_2": "UNIT 305",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206000",
            "telephone_number": "401-573-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "JOSEPH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MCH01003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.