Mary Boucher Licsw
NPI 1902381114 · Adult Mental Health Clinic/Center · Dover, NH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Boucher Licsw is a Adult Mental Health Clinic/Center organization in Dover, NH (NPI 1902381114).
Provider details
- NPI number
- 1902381114
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Boucher, Owner(603) 828-2434
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2018-10-03
- Last updated
- 2018-10-03
Frequently asked questions
- What is Mary Boucher Licsw's NPI number?
- Mary Boucher Licsw's National Provider Identifier (NPI) is 1902381114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Boucher Licsw?
- Mary Boucher Licsw is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mary Boucher Licsw located?
- Mary Boucher Licsw's practice location on file with NPPES is 6 Old Rochester Rd Ste 102c, Dover, NH 03820-2028.
- What is Mary Boucher Licsw's phone number?
- The practice phone number listed in the NPPES registry for Mary Boucher Licsw is (603) 828-2434.
- Does Mary Boucher Licsw accept Medicare?
- Mary Boucher Licsw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary Boucher Licsw?
- The authorized official listed on Mary Boucher Licsw's NPPES record is Mary Boucher, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Boucher Licsw's NPI active?
- Yes — Mary Boucher Licsw's NPI (1902381114) is active in the NPPES registry as of the last update on 2018-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.