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ELIZABETH BOUDREAUX
NPI 1689142960
Counselor - Mental Health in Lynnwood, WA

Active since November 05, 2018Opted out of Medicare · through Nov 24, 2027
21300 68TH AVE W STE 105, LYNNWOOD, WA 98036(425) 412-3155(425) 249-3522 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2019, Nov 5, 2018 (2 updates tracked since 2018).

About Elizabeth Boudreaux NPPES

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

ELIZABETH BOUDREAUX (NPI 1689142960) is an individual mental health provider in Lynnwood, Washington, licensed in Washington (MC60773855) and active in the NPI registry since November 2018. She has opted out of Medicare through November 24, 2027.

NPPES Registry Identity

NPI1689142960
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH BOUDREAUX
Location Address21300 68TH AVE W STE 105Lynnwood, WA 98036-7310
Mailing Address21300 68th Ave W Ste 105Lynnwood, WA 98036-7310 · (425) 412-3155 · Fax (425) 249-3522
Phone(425) 412-3155
Fax(425) 249-3522
Sole ProprietorNo
Enumeration DateNovember 5, 2018
Last NPPES UpdateJuly 3, 20192 updates tracked since enumeration
✔ NPI 1689142960 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 WA · MC60773855
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO60702738 (WA)
21300 68TH AVE W STE 105, Lynnwood, WA 98036
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elizabeth Boudreaux has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 24, 2025 through November 24, 2027.

Opt-Out Effective DateNovember 24, 2025
Opt-Out In Effect ThroughNovember 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

SQUAREONE SERVICES, SPC
Community/Behavioral Health
21300 68TH AVE W STE 105
LYNNWOOD, WA 98036
Snohomish County (425) 412-3155
AMY HOFEDITZ CDP
Counselor (Addiction (Substance Use Disorder))
21300 68TH AVE W STE 105
LYNNWOOD, WA 98036
Snohomish County (425) 412-3155

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 Elizabeth Boudreaux's NPI number?

The NPI number for Elizabeth Boudreaux is 1689142960. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Elizabeth Boudreaux located?

Elizabeth Boudreaux practices at 21300 68th Ave W Ste 105, Lynnwood, WA 98036. The listed phone number is (425) 412-3155.

What is Elizabeth Boudreaux's specialty?

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

Is Elizabeth Boudreaux enrolled in Medicare?

No. Elizabeth Boudreaux has opted out of Medicare through November 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elizabeth Boudreaux accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Elizabeth Boudreaux 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 Elizabeth Boudreaux was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.