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

Active since July 05, 2017
2589 S FIVE MILE RD, BOISE, ID 83709(208) 991-2301 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2019, Mar 22, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Wanda Burleson Bouchard Ma, Lpc, Ncc NPPES

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

WANDA BURLESON BOUCHARD MA, LPC, 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, LPC, NCC
Location Address2589 S FIVE MILE RDBoise, ID 83709-2325
Mailing Address2982 E Heartleaf LnBoise, ID 83716-5065 · (208) 949-6720
Phone(208) 991-2301
Sole ProprietorYes
Enumeration DateJuly 5, 2017
Last NPPES UpdateAugust 12, 20193 updates tracked since enumeration
✔ 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.
2589 S FIVE MILE RD, Boise, ID 83709
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Other Providers at the Same Location NPPES 10

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

JEFFREY EASTMAN LCPC
Counselor (Professional)
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 841-4837
MAGGIE ROMIG LMSW
Social Worker
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 376-4929
HOPE STONE COUNSELING, PLLC
Clinic/Center (Adolescent and Children Mental Health)
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (406) 788-3326
TURNING POINT COUNSELING LLC
Counselor (Mental Health)
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 918-0338
KRISTI L WEISMANN LCPC
Counselor (Mental Health)
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 917-2540
CASSIDY JOY DESHAZER MSW, LCSW
Social Worker (Clinical)
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 789-0417
WELLSPRING COUNSELING SERVICES, LLC
Psychologist (Counseling)
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 908-6320
LEAH MARIE SUDDARTH LCPC
Counselor (Mental Health)
2589 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 908-6320

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 2589 S Five Mile Rd, Boise, ID 83709. 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 August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.