MRS. JOSHUA RENE BOUTTE LPC
NPI 1639564917
Counselor - Professional in Dallas, TX
About Mrs. Joshua Rene Boutte Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JOSHUA RENE BOUTTE LPC (NPI 1639564917) is an individual professional provider in Dallas, Texas, licensed in Texas (71199) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Joshua Rene Boutte Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75247
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 Joshua Boutte's NPI number?
The NPI number for Joshua Boutte is 1639564917. It was assigned to this individual provider in the NPPES registry on April 2, 2015.
Where is Joshua Boutte located?
Joshua Boutte practices at 1380 River Bend Dr, Dallas, TX 75247. The listed phone number is (214) 743-6146.
What is Joshua Boutte's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Joshua Boutte enrolled in Medicare?
Yes. Joshua Boutte is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Joshua Boutte was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Joshua Rene Boutte, LPC · NPI 1639564917
Professional provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since April 2, 2015.
## Identity
- **NPI:** 1639564917 (Entity type: Individual)
- **Enumerated:** April 2, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 71199 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1380 RIVER BEND DR, Dallas, TX 75247-4914
- **Phone:** (214) 743-6146
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1639564917) · Data from the CMS NPPES public registry.