Nompelelo Khumalo Boucher, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00708 Issued in RI

Practice address

175 Nate Whipple Hwy Ste 202
Cumberland, RI 02864-1423

Phone

(401) 405-0700

NPI assigned

Jan 10, 2007

Last updated

Jan 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Cumberland Counseling LLCGroup PAC ID 5395146690, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Cumberland Counseling, LLC

  • Mental Health Counselor
  • Cumberland, RI
  • NPI 1396208435
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1629128012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUSTIC LN",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641141",
            "telephone_number": "617-791-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NATE WHIPPLE HWY STE 202",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641423",
            "telephone_number": "401-405-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Cumberland Street",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028955449",
            "country_code": "US",
            "telephone_number": "401-356-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Wampanoag Trl Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029151217",
            "country_code": "US",
            "telephone_number": "401-405-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "NOMPELELO",
        "middle_name": "KHUMALO",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00708",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Blanchard, MSN-FNP-C
• Blue Feather Communication Collaborative LLC
• Michelle Bornstein Bennett, MD
• Karen A Bouchard, RN
• Matthew Boucher, LICSW
• Robert Bouffard, LMFT-A
• Guy M Boulay, C.A.G.S.
• Jenna Boutilier, NP
• Kerianne Brady
• James J. Brennan, D.D.S.

• Mental Health Counselor in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.