Ian Brian Bould

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2802 Coho St Ste 203
Madison, WI 53713-4521

Phone

(608) 291-7033

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Reflections Mental Health LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1720623226
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1730932179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 SHARPSBURG DR APT 631",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183053",
            "telephone_number": "262-424-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 COHO ST STE 203",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134521",
            "telephone_number": "608-291-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULD",
        "first_name": "IAN",
        "middle_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey L Boucher, CAA
• Jeremy Paul Boudreaux, LCSW
• Michelle Theresa Boudreaux, N.P.
• Shenikqua Bouges, MD
• Lara Skye Boughman, LPC, CSAC
• Robert Kenneth Bour, M.D.
• Suzanne Bourie, RN
• Christina Bouril, CGC
• Amy E Bourne, MD
• Elizabeth Louise Bourne

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.