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

Michelle Marlo Boucher Vickers, NCC, CRC, LMHC

Individual provider Mental Health Counselor · NPI 1528887510

Michelle Marlo Boucher Vickers, NCC, CRC, LMHC is a Mental Health Counselor in Orlando, Florida. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2024
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

4528 Pageant Way
Orlando, FL 32808-2731
Phone: (954) 224-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH17907 (FL)

Record details

NPI number1528887510
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCC , CRC , LMHC
Sole proprietorYes
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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