JEAN GUILLAUME NICOLAS BOULET LCSW
NPI 1114179108
Social Worker - Clinical in Greensboro, NC

Q: What is Jean Boulet's NPI number?

The NPI number for Jean Boulet is 1114179108. It was assigned to this individual provider in the NPPES registry on October 21, 2008. The provider is also known as Nick Boulet.

Q: What is Jean Boulet's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jean Boulet was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since October 21, 2008PECOS EnrolledAccepts Medicare Assignment

2709 PINEDALE RD STE B, GREENSBORO, NC 27408(336) 223-5521(336) 288-3177 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Jul 21, 2022, Aug 15, 2017 and 1 more (4 updates tracked since 2017).

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About Jean Guillaume Nicolas Boulet Lcsw NPPES

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

JEAN GUILLAUME NICOLAS BOULET LCSW (NPI 1114179108) is an individual clinical provider in Greensboro, North Carolina, licensed in North Carolina (C008297) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114179108

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJEAN GUILLAUME NICOLAS BOULETCredential: LCSW

Location Address2709 PINEDALE RD STE BGreensboro, NC 27408-2018

Mailing Address2709 Pinedale Rd Ste BGreensboro, NC 27408-2018 · (336) 223-5521 · Fax (336) 288-3177

Phone(336) 223-5521

Fax(336) 288-3177

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateOctober 21, 2008

Last NPPES UpdateApril 30, 20254 updates tracked since enumeration

NPPES CertifiedApril 30, 2025

✔ NPI 1114179108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C008297

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2709 PINEDALE RD STE B, Greensboro, NC 27408

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Other Names 1

Professional Name (2)Nick Boulet

Other Identifiers 4

Other18859NC · Bcbs

Other1114179108NC · Ubh

Other1114179108NC · Humana

OtherMAGELLANNC · 601112-311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jean Guillaume Nicolas Boulet Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799916524

PECOS Enrollment IDI20250908002377

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

67 services15 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DWELL MINISTRY PC

Counselor (Mental Health)