Nicholas D Boutros, MA, CCMHC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000007601 Issued in MA

Practice address

8 Crafts Ave Ste 2R
Northampton, MA 01060-3806

Phone

(413) 207-2573

NPI assigned

Mar 6, 2007

Sex

Male

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

Opted out of Medicare

Yes, effective Sep 15, 2025 through Sep 15, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northampton Psychotherapy

  • Mental Health Counselor
  • Northampton, MA
  • NPI 1669806147
  NPD (past) Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377907200000",
    "number": "1922138155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CRAFTS AVE STE 2R",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603806",
            "telephone_number": "413-207-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CRAFTS AVE STE 2R",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603806",
            "telephone_number": "413-207-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MA, CCMHC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "000007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bostian, D.O.
• Peter Copeland Bott, MSW
• Tyler Boudreau, LICSW
• Andrew B. Bourke, PH.D.
• William Eugene Boutelle, M.D.
• George R Bowers, M.D.
• Valerie D. Bowlby, LICSW
• Annabelle Boyd
• Robert Dewey Boynton Jr., D.D.S.
• Anna Louisa Boysen, BA

• Mental Health Counselor in Northampton, MA
• Providers in Northampton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.