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

MS. Lara Skye Boughman, LPC, CSAC

Individual provider Clinical Social Worker · NPI 1689884686

MS. Lara Skye Boughman, LPC, CSAC is a Mental Health Counselor in Madison, Wisconsin. Qualified in 2012, 14 years ago. Works from 3 locations. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2007
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

4785 Hayes Rd Ste 200
Madison, WI 53704-7364
Phone: (608) 844-8473
Fax: (608) 400-8422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1334 Applegate Rd, Madison, WI 53713 — (608) 221-1500
  • 6502 Grand Teton Plz Ste 102, Madison, WI 53719-1047 — (608) 827-7220

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5352-125 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15459-132 (WI)

Record details

NPI number1689884686
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CSAC
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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