NPIMap

Organization Active NPI

Susie Boucher LLC

  • Mental Health Counselor
  • Mobile, AL
National Provider Identifier
1780343731
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUSIE BOUCHER LLC
Practice address
3925 Spring Hill Ave Ste B
Mobile, AL 36608-5730
Phone
(251) 316-0060
Fax
(251) 316-0062
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Susan Marisa Boucher, MSNPI 1811506207
Title
LPC
Phone
(251) 316-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3925 Spring Hill Ave Ste B
Mobile, AL 36608-5730

Mailing address

3925 Spring Hill Ave Ste B
Mobile, AL 36608-5730
Phone (251) 316-0060

National Provider Directory

National Provider Directory

Locations

3925 Spring Hill Ave
#B
Mobile, AL 36608
Phone (251) 316-0060

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1780343731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SPRING HILL AVE STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085730",
            "telephone_number": "251-316-0060",
            "fax_number": "251-316-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SPRING HILL AVE STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085730",
            "telephone_number": "251-316-0060",
            "fax_number": "251-316-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSIE BOUCHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARISA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "251-316-0060",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.