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MR. JACOB RAYMOND DANIEL BOUCHER BS PSYCHOLOGY
NPI 1265114979
Counselor in Vancouver, WA

Active since August 02, 2023
10604 NE HIGHWAY 99, VANCOUVER, WA 98686(360) 644-1631 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jacob Raymond Daniel Boucher Bs Psychology NPPES

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

MR. JACOB RAYMOND DANIEL BOUCHER BS PSYCHOLOGY (NPI 1265114979) is an individual counselor in Vancouver, Washington and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1265114979
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JACOB RAYMOND DANIEL BOUCHERCredential: BS PSYCHOLOGY
Location Address10604 NE HIGHWAY 99Vancouver, WA 98686-5613
Mailing Address7106 Ne 44th Cir Apt AVancouver, WA 98661-3688 · (360) 600-9927
Phone(360) 644-1631
Sole ProprietorNo
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1265114979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
10604 NE HIGHWAY 99, Vancouver, WA 98686
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Other Providers at the Same Location NPPES 20

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

SARAH MAY GRIFFIN LMHCA
Counselor (Mental Health)
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 644-1631
NATALIA ELENA ARIAS DAVIS
Counselor
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 644-1631
ALEXANDER T RAINES
Counselor
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 567-2211
CHARIS ROSALES MSW, LICSW, MHP
Social Worker
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 644-1631
BRITTANY NICHOLE FAITH DIXON QMHP-C
Social Worker
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 644-1631
MARCY M MULLET LPC
Counselor
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 644-1631
MR. KELLEN CHARLES RHODA
Counselor
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 644-1631
BRIDGET RENE BAXTER-LEITCH
Counselor
10604 NE HIGHWAY 99
VANCOUVER, WA 98686
Clark County (360) 644-1631

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 Jacob Boucher's NPI number?

The NPI number for Jacob Boucher is 1265114979. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Jacob Boucher located?

Jacob Boucher practices at 10604 NE Highway 99, Vancouver, WA 98686. The listed phone number is (360) 644-1631.

What is Jacob Boucher'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 Jacob Boucher was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.