Lara Skye Boughman, LPC, CSAC
NPI 1689884686ActiveIndividual· Counselor, Professional· Madison, WI
Counselor, Professional (LPC, CSAC) in Madison, Wisconsin, licensed in WI, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1689884686 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, CSAC |
| Sole proprietor | No |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Aug 26, 2024 |
| Certified by provider | Aug 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5352-125 | WI |
| Social Worker, Clinical | 1041C0700X | 15459-132 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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