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

Jannifer L Boucher, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588994800

Jannifer L Boucher, LPC is a Mental Health Counselor in Great Bend, Kansas. Qualified in 2002, 24 years ago. Licensed in Kansas.

Years since qualifying
24
Licensed in
KS
In the registry since
2010
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1905 19th St
Great Bend, KS 67530-2502
Phone: (620) 792-5700
Fax: (620) 792-5742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC 864 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAC 107 (KS)

Record details

NPI number1588994800
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 8, 2010
Last updated in NPPESApril 14, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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