Ms Lara Skye Boughman, LPC, CSAC is a
Counselor - Professional based in Madison, Wisconsin. Ms Lara Skye Boughman is licensed to practice in Wisconsin (license number 5352-125) and her current practice location is
4785 Hayes Rd Ste 200, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 844-8473.
NPI number for Ms Lara Skye Boughman is 1689884686 and her current mailing address is 4785 Hayes Rd Ste 200, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689884686.
Healthcare Provider's Profile
Full Name | Ms Lara Skye Boughman |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 4785 Hayes Rd Ste 200, Madison, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689884686
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 08/26/2024
Medical Identifiers
Medical identifiers for Ms Lara Skye Boughman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689884686 | NPI | - | NPPES |
15459-132 | Other | WI | CSAC |
5352-125 | Other | WI | LPC |
14277-130 | Other | WI | SAC-IT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 15459-132 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 5352-125 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lara Skye Boughman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lara Skye Boughman, LPC, CSAC 4785 Hayes Rd Ste 200, Madison, WI 53704-7364 Ph: (608) 844-8473 | Ms Lara Skye Boughman, LPC, CSAC 4785 Hayes Rd Ste 200, Madison, WI 53704-7364 Ph: (608) 844-8473 |
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