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

Kellie Bouldin, LPC

Individual provider Counselor · NPI 1124482328

Kellie Bouldin, LPC is a Mental Health Counselor in Cheyenne, Wyoming. Qualified in 2016, 10 years ago. Practices with Hope LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
10
Licensed in
WY
In the registry since
2016
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

2617 E Lincolnway Ste G
Cheyenne, WY 82001-5671
Phone: (307) 514-1288
Fax: (307) 514-0979
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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-1727 (WY)
Counselor Taxonomy 101Y00000X

Record details

NPI number1124482328
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address2617 E Lincolnway Ste G, Cheyenne, WY 82001-5671

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hope Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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