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PETER R BOUTROS LMHC, CASAC
NPI 1477648871
Counselor - Mental Health in Staten Island, NY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
40 DELMAR AVE, SUITE A, STATEN ISLAND, NY 10312(917) 209-3423 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter R Boutros Lmhc, Casac NPPES

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

PETER R BOUTROS LMHC, CASAC (NPI 1477648871) is an individual mental health provider in Staten Island, New York, licensed in New York (003124) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1477648871
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePETER R BOUTROSCredential: LMHC, CASAC
Location Address40 DELMAR AVE, SUITE AStaten Island, NY 10312-2875
Mailing Address40 Delmar AveStaten Island, NY 10312-2875 · (718) 701-4736
Phone(917) 209-3423
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 16, 2008
✔ NPI 1477648871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 003124
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
40 DELMAR AVE, Staten Island, NY 10312
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter R Boutros Lmhc, Casac 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 ID3971942285
PECOS Enrollment IDI20240419000996
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
107 services11 patients

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 Peter Boutros's NPI number?

The NPI number for Peter Boutros is 1477648871. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Peter Boutros located?

Peter Boutros practices at 40 Delmar Ave Suite A, Staten Island, NY 10312. The listed phone number is (917) 209-3423.

What is Peter Boutros's specialty?

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

Is Peter Boutros enrolled in Medicare?

Yes. Peter Boutros 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.

When was this NPI record last updated?

The NPPES record for Peter Boutros was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.