Active NPI
Lynette Marie Hebert, LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1497825301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4465
- Practice address
- 1405 Federal Blvd
Denver, CO 80204-2211 - Phone
- (303) 504-1518
- Fax
- (303) 825-1711
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4465 | CO | Primary |
Addresses
Primary practice location
1405 Federal Blvd
Denver, CO 80204-2211
Mailing address
860 W Moorhead Cir
#2D
Boulder, CO 80305-6166
Phone (720) 201-3456
Other names 1
- Mrs. Lynette Hebert Bouton
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4465 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497825301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 W MOORHEAD CIR",
"address_2": "#2D",
"city": "BOULDER",
"state": "CO",
"postal_code": "803056166",
"telephone_number": "720-201-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 FEDERAL BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802042211",
"telephone_number": "303-504-1518",
"fax_number": "303-825-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "LYNETTE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNETTE",
"last_name": "BOUTON",
"middle_name": "HEBERT",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.