Boule Sophia LLC
Organization Active NPI Mental Health Counselor · Polson, MT
NPI 1881290302 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1881290302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- BOULE SOPHIA LLC
- Practice address
- 41582 Baypoint Rd
Polson, MT 59860-8584 - Phone
- (406) 491-2898
- NPI assigned
- Dec 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Erika Anne Weber, LCSW
- Title
- Owner/Provider
- Phone
- (406) 491-2898
Practitioners 2
-
Erika Ann Weber, LCSW
-
Christopher James Weber, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210224002138 | MT | Part B Supplier - Clinic/Group Practice | 4082029020 |
Receives reassigned benefits from 2 practitioners Practice locations: Polson, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
41582 Baypoint Rd
Polson, MT 59860-8584
Mailing address
PO Box 1642
Polson, MT 59860-1642
Phone (406) 491-2898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200619724101 | Other | MT | DRIVERS LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MyClientPortal |
NPI Registry JSON
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1881290302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1642",
"city": "POLSON",
"state": "MT",
"postal_code": "598601642",
"telephone_number": "406-491-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41582 BAYPOINT RD",
"city": "POLSON",
"state": "MT",
"postal_code": "598608584",
"telephone_number": "406-491-2898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOULE SOPHIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-09",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "ERIKA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "406-491-2898",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "1200619724101",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MyClientPortal",
"affiliation": "N",
"address_1": "41582 Baypoint Rd",
"city": "Polson",
"state": "MT",
"country_code": "US",
"postal_code": "598608584",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Polson, MT
- Jeffrey Scott Bird
- Royalee J. Bishop
- Bobbi Jo Blackweasel
- Chelsea Boggess
- Brittany Leigh Borman
- Alyssa Jacqueline Bovy
- Jennifer Ann Boyer
- Alexis Brandenburg
- Brave Journey PLLC
- Louis Conrad Brenner
All providers in Polson, MT · Mental Health Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.