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

Peter R Boutros, LMHC, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477648871

Peter R Boutros, LMHC, CASAC is a Mental Health Counselor in Staten Island, New York. Qualified in 1999, 27 years ago. Practices with National Neighborhood Counseling Center Inc, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
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

40 Delmar Ave Ste A
Staten Island, NY 10312-2875
Phone: (917) 209-3423
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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 003124 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (NY)

Record details

NPI number1477648871
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , CASAC
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESSeptember 16, 2008

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice National Neighborhood Counseling Center Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Staten Island