MS. LORI ANN BOUDREAUX M.S., M.ED, LPC-MHSP
NPI 1720292337
Counselor - Professional in Lenoir City, TN

Q: What is Lori Boudreaux's NPI number?

The NPI number for Lori Boudreaux is 1720292337. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Lori Boudreaux's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lori Boudreaux was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 10, 2007PECOS Enrolled

423 MEDICAL PARK DR STE 400, LENOIR CITY, TN 37772(865) 271-6545 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Lori Ann Boudreaux M.s., M.ed, Lpc-mhsp NPPES

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

MS. LORI ANN BOUDREAUX M.S., M.ED, LPC-MHSP (NPI 1720292337) is an individual professional provider in Lenoir City, Tennessee, licensed in Tennessee (LPC0000002116) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1720292337

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. LORI ANN BOUDREAUXCredential: M.S., M.ED, LPC-MHSP

Location Address423 MEDICAL PARK DR STE 400Lenoir City, TN 37772-5641

Mailing Address4420 Whittle Springs Road, Ste BKnoxville, TN 37917 · (865) 688-0661 · Fax (865) 688-5780

Phone(865) 271-6545

Sole ProprietorYes

Enumeration DateMay 10, 2007

Last NPPES UpdateApril 28, 2020

NPPES CertifiedApril 28, 2020

✔ NPI 1720292337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · LPC0000002116

423 MEDICAL PARK DR STE 400, Lenoir City, TN 37772

Open in Google Maps ↗

Secondary Practice Location 1

Location 14420 Whittle Springs Road, Ste BKnoxville, TN 37917 · Phone (865) 688-0661 · Fax (865) 688-5780

Other Identifiers 1

Medicaid1530582TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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)

Ms. Lori Ann Boudreaux M.s., M.ed, Lpc-mhsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

TRACY DIANN CLARKSON

Counselor (Mental Health)