Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DJENNE BOUTRIN
NPI 1124931415
Counselor - Professional in Philadelphia, PA

Q: What is Djenne Boutrin's NPI number?

The NPI number for Djenne Boutrin is 1124931415. It was assigned to this individual provider in the NPPES registry on September 26, 2026.

Q: What is Djenne Boutrin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Djenne Boutrin was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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 September 26, 2026

6712 RIDGE AVE UNIT 201, PHILADELPHIA, PA 19128(347) 776-0330 Get Directions Write a Review

NPPES record added: September 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Djenne Boutrin NPPES

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

DJENNE BOUTRIN (NPI 1124931415) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC020998) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1124931415

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDJENNE BOUTRIN

Location Address6712 RIDGE AVE UNIT 201Philadelphia, PA 19128-2430

Mailing Address6712 Ridge Ave Unit 201Philadelphia, PA 19128-2430 · (347) 776-0330

Phone(347) 776-0330

Sole ProprietorNo

Enumeration DateSeptember 26, 2026

NPPES CertifiedSeptember 26, 2026

✔ NPI 1124931415 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 PA · PC020998

6712 RIDGE AVE UNIT 201, Philadelphia, PA 19128

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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 Djenne Boutrin's NPI number?

The NPI number for Djenne Boutrin is 1124931415. It was assigned to this individual provider in the NPPES registry on September 26, 2026.

Where is Djenne Boutrin located?

Djenne Boutrin practices at 6712 Ridge Ave Unit 201, Philadelphia, PA 19128. The listed phone number is (347) 776-0330.

What is Djenne Boutrin'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 Djenne Boutrin was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.