Kristen Leigh Boudreau, P.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.0701103 Issued in OH

Practice address

10330 Sawmill Pkwy
Suite 300
Powell, OH 43065-7790

Phone

(614) 477-4390

NPI assigned

Apr 10, 2009

Last updated

Oct 15, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Boudreau Counseling Services

  • Professional Counselor
  • Powell, OH
  • NPI 1215257910
  Authorized official Same address or phone

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1629211388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3342",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430160161",
            "telephone_number": "614-477-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SAWMILL PKWY",
            "address_2": "SUITE 300",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657790",
            "telephone_number": "614-477-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0701103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Blank, DDS
• Timothy Paul Blecke, PT, CERT. MDT, NCS
• Mindy Jo Blevins, ATC
• Reza Bolourian, MD
• Boudreau Counseling Services
• Michael Todd Bozzo, RN
• Lillian Hannah Breese
• Brenda J. Stone LLC
• Bright Communicators, LLC
• Bright Reflections Dental Studio

• Professional Counselor in Powell, OH
• Providers in Powell, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.