Active NPI
Cheryl Joyce Boucher, LPC
- Professional Counselor
- Augusta, GA
National Provider Identifier
1588262125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 009993
- Practice address
- 2609 Commons Blvd
Augusta, GA 30909-6059 - Phone
- (706) 843-6241
- NPI assigned
- Oct 15, 2020
- Last updated
- Oct 15, 2020
- 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 | 009993 | GA | Primary |
Addresses
Primary practice location
2609 Commons Blvd
Augusta, GA 30909-6059
Mailing address
800 Briggs Road
North Augusta, SC 29860
Phone (706) 524-4846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009993 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1588262125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BRIGGS ROAD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29860",
"telephone_number": "706-524-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 COMMONS BLVD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096059",
"telephone_number": "706-843-6241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHER",
"first_name": "CHERYL",
"middle_name": "JOYCE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "009993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.