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 NPI 1114220787
Title
Owner/Provider
Phone
(406) 491-2898

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

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
1200619724101OtherMTDRIVERS LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL MyClientPortal

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 19, 2026.

{
    "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

All providers in Polson, MT · Mental Health Counselor in Montana

Sources for this page

Verify at the official NPI Registry.