MRS. TERI BOUDREAU LCPC
NPI 1295746675
Counselor in Bourbonnais, IL

Q: What is Teri Boudreau's NPI number?

The NPI number for Teri Boudreau is 1295746675. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Teri Boudreau'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 Teri Boudreau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 10, 2006PECOS Enrolled

21 HERITAGE DR, STE 102, BOURBONNAIS, IL 60914(815) 937-8204(815) 937-8798 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Teri Boudreau Lcpc NPPES

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

MRS. TERI BOUDREAU LCPC (NPI 1295746675) is an individual counselor in Bourbonnais, Illinois and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295746675

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. TERI BOUDREAUCredential: LCPC

Location Address21 HERITAGE DR, STE 102Bourbonnais, IL 60914

Mailing Address9223 W St Francis RdFrankfort, IL 60423 · (815) 806-3111 · Fax (815) 464-2621

Phone(815) 937-8204

Fax(815) 937-8798

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1295746675 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.

21 HERITAGE DR, Bourbonnais, IL 60914

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Mrs. Teri Boudreau Lcpc 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 10

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

MRS. AZRA N PAPPA DO

Psychiatry & Neurology (Psychiatry)

21 HERITAGE DR, STE 102
BOURBONNAIS, IL 60914

Kankakee County (815) 937-8204

AMY N KEARNEY PTA

Physical Therapy Assistant

21 HERITAGE DR
BOURBONNAIS, IL 60914

Kankakee County (815) 937-8220

ALAINA LASTRES

Nurse Practitioner (Psychiatric/Mental Health)

21 HERITAGE DR
BOURBONNAIS, IL 60914

Kankakee County (815) 937-8204

MRS. BRANDI KAYE KANER

Dentist

21 HERITAGE DR, SUITE 100
BOURBONNAIS, IL 60914

Kankakee County (815) 936-3232

MRS. KIMBERLY ANN HALL PT

Physical Therapist

21 HERITAGE DR
BOURBONNAIS, IL 60914

Kankakee County (815) 937-8220

ASHLEY PERRY PTA

Physical Therapy Assistant

21 HERITAGE DR
BOURBONNAIS, IL 60914

Kankakee County (815) 937-8220

JENNIFER SPYTEK PT, DPT, ATC

Physical Therapist

21 HERITAGE DR
BOURBONNAIS, IL 60914

Kankakee County (815) 937-8220

MS. TAMMIE JO OSTROWSKI PT

Physical Therapist

21 HERITAGE DR
BOURBONNAIS, IL 60914

Kankakee County (815) 937-8220

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 Teri Boudreau's NPI number?

The NPI number for Teri Boudreau is 1295746675. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Teri Boudreau located?

Teri Boudreau practices at 21 Heritage Dr Ste 102, Bourbonnais, IL 60914. The listed phone number is (815) 937-8204.

What is Teri Boudreau's specialty?

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

Is Teri Boudreau enrolled in Medicare?

Yes. Teri Boudreau is registered in the Medicare PECOS enrollment system.

What insurance does Teri Boudreau accept?

Health plans from Providence Health Plan list Teri Boudreau 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 Teri Boudreau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.