Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MS. LARA SKYE BOUGHMAN
Active
Individual
MS. LARA SKYE BOUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5352-125
WI
1041C0700X
Clinical Social Worker
15459-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14277-130
SAC-IT
WI
01
—
15459-132
CSAC
WI
01
—
5352-125
LPC
WI
Enumeration date
05/22/2007
Last updated
08/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up