MARY BOUCHER LICSW
NPI 1902381114
Clinic/Center - Adult Mental Health in Dover, NH
About Mary Boucher Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BOUCHER LICSW (NPI 1902381114) is a healthcare organization registered as an adult mental health in Dover, New Hampshire and active in the NPI registry since October 2018. The organization lists Mary Boucher, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Boucher Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Boucher Licsw, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mary Boucher Licsw's NPI number?
The NPI number for Mary Boucher Licsw is 1902381114. It was assigned to this organization in the NPPES registry on October 3, 2018.
Where is Mary Boucher Licsw located?
Mary Boucher Licsw is located at 6 Old Rochester Rd Ste 102C, Dover, NH 03820. The listed phone number is (603) 828-2434.
What is Mary Boucher Licsw's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Mary Boucher Licsw enrolled in Medicare?
Yes. Mary Boucher Licsw is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mary Boucher Licsw?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mary Boucher Licsw. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mary Boucher Licsw was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mary Boucher Licsw · NPI 1902381114
Adult Mental Health organization in Dover, New Hampshire. Organization record, active in the CMS NPPES registry since October 3, 2018.
## Identity
- **NPI:** 1902381114 (Entity type: Organization)
- **Enumerated:** October 3, 2018
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Mary Boucher, OWNER
## Practice location
- **Address:** 6 OLD ROCHESTER RD STE 102C, Dover, NH 03820-2028
- **Phone:** (603) 828-2434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1902381114) · Data from the CMS NPPES public registry.