KELLIE BOULDIN LPC NPI 1124482328

NPI Information

  • NPI: 1124482328
  • Provider Name: KELLIE BOULDIN, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2617 E LINCOLNWAY STE G
    CHEYENNE, WY
    ZIP 82001
  • Phone: (307) 514-1288

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NPI Details

Kellie Bouldin, LPC is a professional counselor in Cheyenne, WY with 10 years of experience. Kellie Bouldin, LPC NPI is 1124482328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2617 E LINCOLNWAY STE G
CHEYENNE, WY
ZIP 82001-671
Phone: (307) 514-1288
Fax: (307) 514-0979

The NPI 1124482328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YP2500XCounselorProfessionalLPC-1727WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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