Suzanne Boutilier, LMSW-CC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC23060 Issued in ME

Practice address

235 Center St
Brewer, ME 04412-1961

Phone

(207) 561-9496

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By 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

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.

• Higher Ground Services LLC

  • Community/Behavioral Health Agency
  • Brewer, ME
  • NPI 1265767446
  NPD
• McKay Counseling PLLC

  • Professional Counselor
  • Brewer, ME
  • NPI 1568058311
  NPD

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1801662408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CENTER ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121961",
            "telephone_number": "207-561-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CENTER ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121961",
            "telephone_number": "207-561-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTILIER",
        "first_name": "SUZANNE",
        "credential": "LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC23060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynne Bosse, FNP
• Edward G Bosshart, PHARMD
• Alisa Marie Reed Bouchard, MC11151
• Carl R Boucher, R.PH.
• Lillian Marie Boucher, RPH
• Gregory Bowden
• Heather J Bowker, APRN
• Brett Bradford, PT
• Holly Jane Bragan, SLP
• Amy L Bragg, MA

• Mental Health Counselor in Brewer, ME
• Providers in Brewer, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.