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RACHEL ASHLEY BOUSSON LMHC
NPI 1356912125
Counselor - Mental Health in Syracuse, NY

Active since July 02, 2021PECOS EnrolledAccepts Medicare Assignment
1045 JAMES ST, SYRACUSE, NY 13203(315) 472-4471 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, Jul 2, 2021 (2 updates tracked since 2021).

About Rachel Ashley Bousson Lmhc NPPES

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

RACHEL ASHLEY BOUSSON LMHC (NPI 1356912125) is an individual mental health provider in Syracuse, New York, licensed in New York (015410) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356912125
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRACHEL ASHLEY BOUSSONCredential: LMHC
Location Address1045 JAMES STSyracuse, NY 13203-2730
Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 472-4471
Phone(315) 472-4471
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 2, 2021
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1356912125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 015410
1045 JAMES ST, Syracuse, NY 13203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Ashley Bousson Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153856034
PECOS Enrollment IDI20241202002343
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.

Medicare Billing Reassignment

Medicare enrollment records show Rachel Bousson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liberty Resources Inc.
Same address
Mental Health (Including Community Mental Health Center)
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
NPI 1225254881 (315) 425-1004

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANDREA ROSA VERGARA LCSW
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
PATRICE KELSEY JEAN M.S., CF-SLP
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
ALIDA ANNE DEJONG NP
Nurse Practitioner (Family)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
LAURA ZAFERAKIS M.S., SPEC.ED.
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
EMILY DOREY LPN
Licensed Practical Nurse
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 413-7865
MS. BRYNNA ROSE TOMASSONE M.S.
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
MRS. ALEXANDRA RENEE CHURCH LMSW
Social Worker
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
MRS. LINDSEY WEBSTER LCSW
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471

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 Rachel Bousson's NPI number?

The NPI number for Rachel Bousson is 1356912125. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Rachel Bousson located?

Rachel Bousson practices at 1045 James St, Syracuse, NY 13203. The listed phone number is (315) 472-4471.

What is Rachel Bousson's specialty?

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

Is Rachel Bousson enrolled in Medicare?

Yes. Rachel Bousson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rachel Bousson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Bousson reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Bousson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachel Bousson was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.