MRS. NOMPELELO KHUMALO BOUCHER LMHC
NPI 1629128012
Counselor - Mental Health in Cumberland, RI

Active since January 10, 2007PECOS Enrolled
175 NATE WHIPPLE HWY STE 202, CUMBERLAND, RI 02864(401) 405-0700 Get Directions Write a Review

NPPES record last updated: January 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Nompelelo Khumalo Boucher Lmhc NPPES

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

MRS. NOMPELELO KHUMALO BOUCHER LMHC (NPI 1629128012) is an individual mental health provider in Cumberland, Rhode Island, licensed in Rhode Island (MHC00708) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629128012
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. NOMPELELO KHUMALO BOUCHERCredential: LMHC
Location Address175 NATE WHIPPLE HWY STE 202Cumberland, RI 02864-1423
Mailing Address9 Rustic LnCumberland, RI 02864-1141 · (617) 791-2645
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJanuary 12, 2025
NPPES CertifiedJanuary 12, 2025
✔ NPI 1629128012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in RI · MHC00708✔ Licensed in MA · 9201
175 NATE WHIPPLE HWY STE 202, Cumberland, RI 02864

Secondary Practice Locations 2

Location 168 Cumberland Street, Suite 102Woonsocket, RI 02895-5449 · Phone (401) 356-1940
Location 21275 Wampanoag Trl Ste 8BRiverside, RI 02915-1217 · Phone (401) 405-0700

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nompelelo Khumalo Boucher Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092116301
PECOS Enrollment IDI20250414000354
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 Nompelelo Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
175 NATE WHIPPLE HWY
Cumberland, RI 02864
  • Reassigned Medicare billing, Rhode Island enrollment
  • 12 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.

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864
Social Worker
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864
Psychologist (Clinical)
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864
Psychologist (Clinical)
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864
Social Worker (Clinical)
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864
Counselor (Mental Health)
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864
Marriage & Family Therapist
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864
Nurse Practitioner (Psychiatric/Mental Health)
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 02864

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 Nompelelo Boucher's NPI number?

The NPI number for Nompelelo Boucher is 1629128012. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Nompelelo Boucher located?

Nompelelo Boucher practices at 175 Nate Whipple Hwy Ste 202, Cumberland, RI 02864. The listed phone number is (401) 405-0700.

What is Nompelelo Boucher's specialty?

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

Is Nompelelo Boucher enrolled in Medicare?

Yes. Nompelelo Boucher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nompelelo Boucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nompelelo Boucher reassigns Medicare benefits to Cumberland Counseling, LLC (Cumberland, RI). 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 Nompelelo Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nompelelo Boucher accept?

Health plans from Harvard Pilgrim Health Care list Nompelelo 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 Nompelelo Boucher was last updated on January 12, 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.