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MICHELLE MARLO BOUCHER VICKERS NCC, CRC, LMHC
NPI 1528887510
Counselor - Mental Health in Orlando, FL

Active since October 07, 2024PECOS Enrolled
4528 PAGEANT WAY, ORLANDO, FL 32808(954) 224-0393 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michelle Marlo Boucher Vickers Ncc, Crc, Lmhc NPPES

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

MICHELLE MARLO BOUCHER VICKERS NCC, CRC, LMHC (NPI 1528887510) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH17907) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528887510
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE MARLO BOUCHER VICKERSCredential: NCC, CRC, LMHC
Location Address4528 PAGEANT WAYOrlando, FL 32808-2731
Mailing Address4528 Pageant WayOrlando, FL 32808-2731 · (954) 224-0393
Phone(954) 224-0393
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1528887510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH17907
4528 PAGEANT WAY, Orlando, FL 32808
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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)

Michelle Marlo Boucher Vickers Ncc, Crc, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830689215
PECOS Enrollment IDI20251104004611
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 Michelle Vickers's NPI number?

The NPI number for Michelle Vickers is 1528887510. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Michelle Vickers located?

Michelle Vickers practices at 4528 Pageant Way, Orlando, FL 32808. The listed phone number is (954) 224-0393.

What is Michelle Vickers's specialty?

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

Is Michelle Vickers enrolled in Medicare?

Yes. Michelle Vickers is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Vickers accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Providence Health Plan list Michelle Vickers 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 Michelle Vickers was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.