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MS. LARA SKYE BOUGHMAN LPC, CSAC
NPI 1689884686
Counselor - Professional in Madison, WI

Active since May 22, 2007PECOS Enrolled
4785 HAYES RD STE 200, MADISON, WI 53704(608) 844-8473(608) 400-8422 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2019, Aug 23, 2018, Jun 27, 2018 and 1 more (4 updates tracked since 2018).

About Ms. Lara Skye Boughman Lpc, Csac NPPES

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

MS. LARA SKYE BOUGHMAN LPC, CSAC (NPI 1689884686) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (5352-125) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689884686
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LARA SKYE BOUGHMANCredential: LPC, CSAC
Location Address4785 HAYES RD STE 200Madison, WI 53704-7364
Mailing Address4785 Hayes Rd Ste 200Madison, WI 53704-7364 · (608) 844-8473 · Fax (608) 400-8422
Phone(608) 844-8473
Fax(608) 400-8422
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 26, 20244 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1689884686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5352-125
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 15459-132 (WI)
4785 HAYES RD STE 200, Madison, WI 53704
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16502 Grand Teton Plz Ste 102Madison, WI 53719-1047 · Phone (608) 827-7220 · Fax (608) 827-7223
Location 21334 Applegate RdMadison, WI 53713 · Phone (608) 221-1500 ext. 33 · Fax (608) 221-1515

Other Identifiers 3

Other15459-132WI · Csac
Other5352-125WI · Lpc
Other14277-130WI · Sac-it

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lara Skye Boughman Lpc, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163992561
PECOS Enrollment IDI20260527002125
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 Lara Boughman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,303 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Wisconsin enrollment
  • 163 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 8

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

ANGELA ROXWORTHY LPC-IT
Counselor (Mental Health)
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 844-8473
STANLEY MIGALA LPC-IT
Counselor (Mental Health)
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 844-8473
MRS. KATHLEEN M HOLT CSAC
Counselor (Addiction (Substance Use Disorder))
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 535-9854
CAYA CLINIC, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 438-2714
KATHERINE ESSENBURG APSW
Social Worker
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 819-6390
CAL M PORTER
Social Worker
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 844-8473
SAMANTHA FOSTER LPC, CRC
Counselor (Professional)
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 620-5114
CHLOE FLESCH
Counselor (Professional)
4785 HAYES RD STE 200
MADISON, WI 53704
Dane County (608) 844-8473

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 Lara Boughman's NPI number?

The NPI number for Lara Boughman is 1689884686. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Lara Boughman located?

Lara Boughman practices at 4785 Hayes Rd Ste 200, Madison, WI 53704. The listed phone number is (608) 844-8473.

What is Lara Boughman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lara Boughman enrolled in Medicare?

Yes. Lara Boughman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lara Boughman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Boughman reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Lara Boughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lara Boughman accept?

Health plans from Anthem Blue Cross and Blue Shield, Security Health Plan and UnitedHealthcare list Lara Boughman 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 Lara Boughman was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.