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Active NPI 1255852703 Individual Practitioner Female Practitioner

Wanda Burleson Bouchard , MA, LPC, NCC

Counselor • Boise, ID

Professional Overview & Biography Verified Profile Summary

Wanda Bouchard, MA, LPC, NCC is a registered healthcare professional specializing in Counselor in Boise, ID. Practice services are available at 2589 S FIVE MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2589 S Five Mile Rd

Boise, ID 837092325

Telephone 2089912301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
145 Specialists

Practicing in Boise, ID (507 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ID LPC-5859

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jeffrey Eastman , LCPC

Counselor - Professional

NPI 1073881561

Licensed Clinical Professional Counselor

Maggie Romig , LMSW

Social Worker

NPI 1184048118

Licensed Master Social Worker

Kirk Korenke , LCPC

Counselor - Mental Health

NPI 1184749079

Licensed Clinical Professional Counselor

Kristi Weismann , LCPC

Counselor - Mental Health

NPI 1508159880

Licensed Clinical Professional Counselor

Cassidy Deshazer , MSW, LCSW

Social Worker - Clinical

NPI 1699384636

Master of Social Work, Licensed Clinical Social Worker

Leah Suddarth , LCPC

Counselor - Mental Health

NPI 1760686372

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated August 12, 2019

Recorded as WANDA BOUCHARD, MA, LPC, NCC

📍
Updated Practice Location March 22, 2018

Registered at 2589 S FIVE MILE RD, BOISE, ID 837092325 (Tel: 2089912301)

👤
Provider Name / Credentials Updated March 22, 2018

Recorded as WANDA BOUCHARD, NCC, LPC

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2017

Registered at 2577 S FIVE MILE RD, BOISE, ID 837092325 (Tel: 2089912301)

📍
Updated Business Mailing Address July 05, 2017

Registered at 2982 E HEARTLEAF LN, BOISE, ID 837165065 (Tel: 2089496720)

👤
Provider Name / Credentials Updated July 05, 2017

Recorded as WANDA BOUCHARD, NCC, LPCV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Counselor (License #LPC-5859 in ID)

🟢
Initial NPI Registration & Enumeration July 05, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255852703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2017
Last Update: August 12, 2019
Sole Proprietor: Yes

Mailing Address

2982 E Heartleaf Ln

Boise, ID 837165065

Phone: 2089496720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.