Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Courtney R. Boddie, PHD

Individual provider Professional Counselor · NPI 1851830442

Dr. Courtney R. Boddie, PHD is a Professional Counselor in Collinsville, Illinois. Practices as a sole proprietor. Licensed in Illinois, Missouri and Rhode Island.

Licensed in
IL, MO, RI
In the registry since
2017
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

122 Pine Hollow Ln
Collinsville, IL 62234-4783
Phone: (618) 401-7407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180012537 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 2016010174 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence MHC01791 (RI)

Record details

NPI number1851830442
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 16, 2017
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

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