MRS. KAREN BOUCHER
NPI 1598060238
Social Worker - Clinical in Port Huron, MI
NPI Status: Active since January 11, 2011
Contact Information
2601 13TH ST
PORT HURON, MI
ZIP 48060
Phone: (810) 987-9100
Fax: (810) 987-9105
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About KAREN BOUCHER
This page provides the complete NPI Profile along with additional information for Karen Boucher, a provider established in Port Huron, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1598060238 assigned on January 2011. The practitioner's primary taxonomy code is 1041C0700X with license number 6801071147 (MI). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1598060238
- Provider Name
- MRS. KAREN BOUCHER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2601 13TH ST PORT HURON, MI 48060
- Location Phone
- (810) 987-9100
- Location Fax
- (810) 987-9105
- Mailing Address
- 2601 13TH ST PORT HURON, MI 48060
- Mailing Phone
- (810) 987-9100
- Mailing Fax
- (810) 987-9105
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2011
- Last Update Date
- 01-11-2011
- Code Navigator
A clinical social worker like Karen Boucher is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6801071147
- License State
- MI
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Bronson Healthcare Partners - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Bronson Healthcare Partners - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value (No Referrals) - HMO
- UHC Silver Value+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Karen Boucher is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 1 hour
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 12 times for 12 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
This service was performed 202 times for 17 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48060 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 9 | 8 | 0 | 6 | 0 | 2 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 0 | 6 | 0 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 0 + 6 + 0 + 2 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1598060238 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548378920 | MR. ROBERT BRUCE DUNDAS LBSW Individual | Social Worker | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1316055775 | H. KENT KRUEGER LBSW Individual | Social Worker | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1285742627 | LAURIE LEE FAGAN LBSW Individual | Social Worker | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1306958053 | LINDA DEALIA HOWARD LMSW Individual | Counselor (Addiction (Substance Use Disorder)) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1902902117 | MS. CAMELLA GILD LMSW, ACSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1184715898 | MR. EDWARD CIESLINSKI LMSW, ACSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1811088487 | MRS. MARY FAULKNER LMSW, ACSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1780775411 | MS. AIDANA SPRESSER LMSW, ACSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1598852170 | TANJA SPENCER LMSW, ACSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1306922174 | CATHOLIC SOCAIL SERVICES Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1790835528 | MRS. STEPHANIE EVANS LLMSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1992932735 | GLORIA KLINESTEKER LLMSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1467652586 | TIFFANY LEE SCURTO M.S.W. Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1285822718 | MRS. JOLENE IRENE LEPIEN-DOAN LMSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1619326022 | KIMBERLY KOESTER L.M.S.W Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1023465788 | MS. ERIN MICHELLE MCDAID LMSW Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1205262359 | MS. NICOLE REID M.A. Individual | Counselor (Addiction (Substance Use Disorder)) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1467559674 | CATHOLIC SOCIAL SERVICES OF ST CLAIR COUNTY Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1134895584 | CHELSEA RENEE KENDRICK-SINGH Individual | Counselor | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
| 1942757364 | SAMANTHA GEORGE LMSW,CAADC Individual | Social Worker (Clinical) | 2601 13TH ST PORT HURON, MI 48060 (810) 987-9100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598060238, enumerated in the NPI registry as an "individual" on January 11, 2011
The provider is located at 2601 13th St Port Huron, Mi 48060 and the phone number is (810) 987-9100
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: HAP CareSource, Oscar Insurance Company, Priority. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation and Psychotherapy, 1 hour.
This NPI record was last updated on January 11, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.