1. Home
  2. Directory
  3. Georgia
  4. Valdosta
  5. Social Worker
  6. NPI Profile

MRS. CHASTIDY BOUTIN
NPI 1447916333
Social Worker in Valdosta, GA

Active since November 15, 2021PECOS EnrolledAccepts Medicare Assignment
1817 GREEN CIR, VALDOSTA, GA 31602(229) 244-9688 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2025, Oct 16, 2023, Nov 15, 2021 (3 updates tracked since 2021).

About Mrs. Chastidy Boutin NPPES

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

MRS. CHASTIDY BOUTIN (NPI 1447916333) is an individual social worker in Valdosta, Georgia, licensed in Georgia (CSW009362) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447916333
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. CHASTIDY BOUTIN
Location Address1817 GREEN CIRValdosta, GA 31602-2885
Mailing Address1817 Green CirValdosta, GA 31602-2885 · (229) 244-9688
Phone(229) 244-9688
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 15, 2021
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1447916333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in GA · CSW009362
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1817 GREEN CIR, Valdosta, GA 31602
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Mrs. Chastidy Boutin 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 ID2961932744
PECOS Enrollment IDI20250208000071
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 Chastidy Boutin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Grounded Mind Therapy And Consultation, L.L.C.
Same address
Clinical
1817 GREEN CIR
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
NPI 1548079700 (229) 244-9688

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 7

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

DESTIN STEWART PHD
Psychologist
1817 GREEN CIR
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
AMY L PARKER
Counselor (Professional)
1817 GREEN CIR
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
THE GROUNDED MIND THERAPY AND CONSULTATION, L.L.C.
Social Worker (Clinical)
1817 GREEN CIR
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
JENNIFER ELIZABETH ORR
Counselor
1817 GREEN CIR
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
COURTNEY AMANDA SMITH
Counselor (Mental Health)
1817 GREEN CIR
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
KALYN BRUMBLEY LMFT, LCC
Marriage & Family Therapist
1817 GREEN CIR
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
KALYN BRUMBLEY LMFT
Marriage & Family Therapist
1817 GREEN CIR
VALDOSTA, GA 31602
Lowndes County (229) 244-9688

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 Chastidy Boutin's NPI number?

The NPI number for Chastidy Boutin is 1447916333. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Chastidy Boutin located?

Chastidy Boutin practices at 1817 Green Cir, Valdosta, GA 31602. The listed phone number is (229) 244-9688.

What is Chastidy Boutin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Chastidy Boutin enrolled in Medicare?

Yes. Chastidy Boutin 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 Chastidy Boutin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chastidy Boutin reassigns Medicare benefits to The Grounded Mind Therapy And Consultation, L.L.C. (Valdosta, GA). 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 Chastidy Boutin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chastidy Boutin accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Chastidy Boutin 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 Chastidy Boutin was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.