ALISHA HELEN KHOURY-BOUCHER M.ED, LADC I, CADC
NPI 1447847918
Counselor - Addiction (Substance Use Disorder) in Springfield, MA

Active since December 30, 2020PECOS Enrolled
21 KINGSLEY ST, SPRINGFIELD, MA 01104(413) 530-0741 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alisha Helen Khoury-boucher M.ed, Ladc I, Cadc NPPES

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

ALISHA HELEN KHOURY-BOUCHER M.ED, LADC I, CADC (NPI 1447847918) is an individual addiction (substance use disorder) provider in Springfield, Massachusetts and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447847918
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALISHA HELEN KHOURY-BOUCHERCredential: M.ED, LADC I, CADC
Location Address21 KINGSLEY STSpringfield, MA 01104-2711
Mailing Address21 Kingsley StSpringfield, MA 01104-2711 · (413) 530-0741
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
NPI 1447847918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
21 KINGSLEY ST, Springfield, MA 01104

Accepted 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)

Alisha Helen Khoury-boucher M.ed, Ladc I, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709351315
PECOS Enrollment IDI20260411000207
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.

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 Alisha Khoury-boucher's NPI number?

The NPI number for Alisha Khoury-boucher is 1447847918. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Alisha Khoury-boucher located?

Alisha Khoury-boucher practices at 21 Kingsley St, Springfield, MA 01104. The listed phone number is (413) 530-0741.

What is Alisha Khoury-boucher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Alisha Khoury-boucher enrolled in Medicare?

Yes. Alisha Khoury-boucher is registered in the Medicare PECOS enrollment system.

What insurance does Alisha Khoury-boucher accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Alisha Khoury-boucher 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 Alisha Khoury-boucher was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.