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NPI · 1508990086 · NPPES-sourced

Charlie Boutillette Lpc Ma

ActiveMental Health Counselor
NPI Number
1508990086
Type 1 · Individual
Taxonomy Code
101YM0800X
Contact
(719) 589-2786
License CO · 1725
Last Updated
About 20 months ago (Sep 2024)
Enumerated 2007-03-15
Primary practice addressCO · 81101-2451
200 Ross AveAlamosa, CO 81101-2451
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About this NPIWhat this record shows.

NPI 1508990086 is registered to Charlie Boutillette Lpc Ma, a Mental Health Counselor practising at 200 Ross Ave in Alamosa, Colorado. Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Charlie Boutillette Lpc Ma has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2007-03-15
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Charlie Boutillette Lpc Ma accepts. To confirm in-network status with your specific health plan, contact Charlie Boutillette Lpc Ma directly at (719) 589-2786.

Frequently asked

Yes. NPI 1508990086 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (719) 589-2786.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Charlie Boutillette Lpc Ma is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy101YM0800X
Last updated2024-09
Enumerated2007-03-15
StatusActive
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