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MICHELLE L BOODRY LPC
NPI 1104604610
Counselor - Professional in Fond Du Lac, WI

Active since September 18, 2023
W8040 RANDALLWOOD LN, FOND DU LAC, WI 54937(920) 979-7855 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle L Boodry Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE L BOODRY LPC (NPI 1104604610) is an individual professional provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (5821--125) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1104604610
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMICHELLE L BOODRYCredential: LPC
Location AddressW8040 RANDALLWOOD LNFond Du Lac, WI 54937-9451
Mailing AddressW8040 Randallwood LnFond Du Lac, WI 54937-9451 · (920) 979-7855
Phone(920) 979-7855
Sole ProprietorYes
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1104604610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5821--125
W8040 RANDALLWOOD LN, Fond Du Lac, WI 54937
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Boodry's NPI number?

The NPI number for Michelle Boodry is 1104604610. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Michelle Boodry located?

Michelle Boodry practices at W8040 Randallwood Ln, Fond Du Lac, WI 54937. The listed phone number is (920) 979-7855.

What is Michelle Boodry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Michelle Boodry was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.