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KRISTINA BOUDREAUX LICSW
NPI 1417476938
Counselor - Mental Health in Plymouth, MA

Active since September 15, 2017
900 SHIP POND RD, PLYMOUTH, MA 02360(857) 321-9015 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Sep 15, 2017 (2 updates tracked since 2017).

About Kristina Boudreaux Licsw NPPES

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

KRISTINA BOUDREAUX LICSW (NPI 1417476938) is an individual mental health provider in Plymouth, Massachusetts and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1417476938
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTINA BOUDREAUXCredential: LICSW
Location Address900 SHIP POND RDPlymouth, MA 02360-1849
Mailing Address900 Ship Pond RdPlymouth, MA 02360-1849 · (857) 321-9015
Phone(857) 321-9015
Sole ProprietorNo
Enumeration DateSeptember 15, 2017
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1417476938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
900 SHIP POND RD, Plymouth, MA 02360
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Other Names 1

Former Name (1)Kristina Porter

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.

MELISSA WHITE LSW
Social Worker
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 209-6349
EMMA KATE DEMAILLY
Social Worker
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 224-8041
CHRIS WONG
Counselor
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 209-6405
TARA WHOOLEY LCSW
Social Worker (Clinical)
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 209-6344
MEGAN SEMPLE
Counselor
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 209-6414
JACQUELINE LAKE
Counselor (Professional)
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 224-8041
GABRIELLE LEFRANCOIS
Counselor (Mental Health)
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 224-8041
ANDREA LINARES
Social Worker (Clinical)
900 SHIP POND RD
PLYMOUTH, MA 02360
Plymouth County (857) 291-5814

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 Kristina Boudreaux's NPI number?

The NPI number for Kristina Boudreaux is 1417476938. It was assigned to this individual provider in the NPPES registry on September 15, 2017. The provider is also known as Kristina Porter.

Where is Kristina Boudreaux located?

Kristina Boudreaux practices at 900 Ship Pond Rd, Plymouth, MA 02360. The listed phone number is (857) 321-9015.

What is Kristina Boudreaux's specialty?

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

When was this NPI record last updated?

The NPPES record for Kristina Boudreaux was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.