Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WANDA BURLESON BOUCHARD MA, LCPC, NCC
NPI 1255852703
Counselor in Boise, ID

Q: What is Wanda Bouchard's NPI number?

The NPI number for Wanda Bouchard is 1255852703. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Q: What is Wanda Bouchard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Bouchard was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 05, 2017

4477 W EMERALD ST STE C250, BOISE, ID 83706(208) 991-2301 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Aug 12, 2019, Mar 22, 2018 and 1 more (4 updates tracked since 2017).

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About Wanda Burleson Bouchard Ma, Lcpc, Ncc NPPES

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

WANDA BURLESON BOUCHARD MA, LCPC, NCC (NPI 1255852703) is an individual counselor in Boise, Idaho, licensed in Idaho (LPC-5859) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1255852703

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameWANDA BURLESON BOUCHARDCredential: MA, LCPC, NCC

Location Address4477 W EMERALD ST STE C250Boise, ID 83706-2076

Mailing Address2982 E Heartleaf LnBoise, ID 83716-5065 · (208) 949-6720

Phone(208) 991-2301

Sole ProprietorYes

Enumeration DateJuly 5, 2017

Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1255852703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ID · LPC-5859

Definition

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.

4477 W EMERALD ST STE C250, Boise, ID 83706

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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 Wanda Bouchard's NPI number?

The NPI number for Wanda Bouchard is 1255852703. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Wanda Bouchard located?

Wanda Bouchard practices at 4477 W Emerald St Ste C250, Boise, ID 83706. The listed phone number is (208) 991-2301.

What is Wanda Bouchard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wanda Bouchard was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.