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MASON CLARK BOUCHER
NPI 1154879781
Counselor - Mental Health in Portland, OR

Active since September 12, 2016PECOS Enrolled
2236 SE BELMONT ST, PORTLAND, OR 97214(503) 445-7699 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2020, Mar 23, 2020, Sep 12, 2016 (3 updates tracked since 2016).

About Mason Clark Boucher NPPES

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

MASON CLARK BOUCHER (NPI 1154879781) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154879781
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMASON CLARK BOUCHER
Location Address2236 SE BELMONT STPortland, OR 97214-2817
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 445-7699
Sole ProprietorNo
Enumeration DateSeptember 12, 2016
Last NPPES UpdateMay 15, 20203 updates tracked since enumeration
NPPES CertifiedMay 15, 2020
✔ NPI 1154879781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2236 SE BELMONT ST, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mason Clark Boucher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 12

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

BRIANNE BRINKLEY
Peer Specialist
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
JOHN SKYLER JOHNSON-WAGNER
Peer Specialist
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 455-7699
NATHAN O MORALES
Counselor (Mental Health)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
EVAN RIAN JOHNSON
Nurse Practitioner (Family)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
CASCADE AIDS PROJECT
Clinic/Center (Primary Care)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 278-3890
CRYSTAL NOEL PERRY MSC, MSW
Social Worker (Clinical)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
ALEXA MORRILL DNP, FNP-C
Nurse Practitioner (Family)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
LYNX DEMUTH CRM, CADC-I
Peer Specialist
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699

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 Mason Boucher's NPI number?

The NPI number for Mason Boucher is 1154879781. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Mason Boucher located?

Mason Boucher practices at 2236 SE Belmont St, Portland, OR 97214. The listed phone number is (503) 445-7699.

What is Mason Boucher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mason Boucher enrolled in Medicare?

Yes. Mason Boucher is registered in the Medicare PECOS enrollment system.

What insurance does Mason Boucher accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Mason Boucher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mason Boucher was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.