Charlie Boutillette, LPC MA
NPI 1508990086 · Mental Health Counselor · Alamosa, CO
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charlie Boutillette, LPC MA is a Mental Health Counselor provider in Alamosa, CO (NPI 1508990086).
Provider details
- NPI number
- 1508990086
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC MA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1725 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Charlie Boutillette's NPI number?
- Charlie Boutillette's National Provider Identifier (NPI) is 1508990086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charlie Boutillette's specialty?
- Charlie Boutillette is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Charlie Boutillette located?
- Charlie Boutillette's practice location on file with NPPES is 200 Ross Ave, Alamosa, CO 81101-2451.
- What is Charlie Boutillette's phone number?
- The practice phone number listed in the NPPES registry for Charlie Boutillette is (719) 589-2786.
- Does Charlie Boutillette accept Medicare?
- Charlie Boutillette is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charlie Boutillette's NPI active?
- Yes — Charlie Boutillette's NPI (1508990086) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.