PETER R BOUTROS LMHC, CASAC
NPI 1477648871
Counselor - Mental Health in Staten Island, NY
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Boutros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11228
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Peter Boutros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Boutros reassigns Medicare benefits to National Neighborhood Counseling Center Inc (Brooklyn, 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 Peter Boutros'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 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 18 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.
# Peter R Boutros, LMHC, CASAC · NPI 1477648871
Mental Health provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1477648871 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 003124 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 40 DELMAR AVE, SUITE A, Staten Island, NY 10312-2875
- **Phone:** (917) 209-3423
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** National Neighborhood Counseling Center Inc (NPI 1457352098, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 16, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1477648871) · Data from the CMS NPPES public registry.