MR. NICHOLAS D BOUTROS MA, CCMHC, LMHC
NPI 1922138155
Counselor - Mental Health in Northampton, MA

Active since March 06, 2007Opted out of Medicare · through Sep 15, 2027
8 CRAFTS AVE STE 2R, NORTHAMPTON, MA 01060(413) 207-2573 Get Directions Write a Review

NPPES record last updated: August 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Nicholas D Boutros Ma, Ccmhc, Lmhc NPPES

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

MR. NICHOLAS D BOUTROS MA, CCMHC, LMHC (NPI 1922138155) is an individual mental health provider in Northampton, Massachusetts, licensed in Massachusetts (000007601) and active in the NPI registry since March 2007. He has opted out of Medicare through September 15, 2027.

NPPES Registry Identity

NPI1922138155
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. NICHOLAS D BOUTROSCredential: MA, CCMHC, LMHC
Location Address8 CRAFTS AVE STE 2RNorthampton, MA 01060-3806
Mailing Address8 Crafts Ave Ste 2rNorthampton, MA 01060-3806 · (413) 207-2573
Sole ProprietorYes
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 31, 2013
NPI 1922138155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MA · 000007601
8 CRAFTS AVE STE 2R, Northampton, MA 01060

Accepted 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

Mr. Nicholas D Boutros Ma, Ccmhc, Lmhc 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 September 15, 2025 through September 15, 2027.

Opt-Out Effective DateSeptember 15, 2025
Opt-Out In Effect ThroughSeptember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
8 CRAFTS AVE STE 2R
NORTHAMPTON, MA 01060

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 Nicholas Boutros's NPI number?

The NPI number for Nicholas Boutros is 1922138155. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Nicholas Boutros located?

Nicholas Boutros practices at 8 Crafts Ave Ste 2R, Northampton, MA 01060. The listed phone number is (413) 207-2573.

What is Nicholas Boutros's specialty?

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

Is Nicholas Boutros enrolled in Medicare?

No. Nicholas Boutros has opted out of Medicare through September 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nicholas Boutros accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Nicholas Boutros 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 Nicholas Boutros was last updated on August 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.