MRS. NOMPELELO KHUMALO BOUCHER (LMHC) – Mental Health Counselor, NPI 1629128012
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
19 MARRIAGE AND FAMILY THERAPIST in RI
Provider Addresses for MRS. NOMPELELO KHUMALO BOUCHER (LMHC)
175 NATE WHIPPLE HWY STE 202
CUMBERLAND, RI 028641423
Phone: (401) 405-0700
Type: Location
68 Cumberland Street
Suite 102
Woonsocket, RI 028955449
Phone: (401) 356-1940
Type: Location
1275 Wampanoag Trl Ste 8B
Riverside, RI 029151217
Phone: (401) 405-0700
Type: Location
68, Cumberland Street, Hamlet, Woonsocket, Providence County, Rhode Island, 02895, United States
SUITE 102
WOONSOCKET, RI 028955449
Phone: (401) 356-1940
Type: Location
9, Rustic Lane, Portland, Cumberland County, Maine, 04103, United States
CUMBERLAND, RI 028641141
Phone: (617) 791-2645
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250414000354 | I | Marriage And Family Therapist | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | RI | |
| Nurse Practitioner | RI | |
| Clinical Psychologist | RI |
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