Active NPIIndividual providerSole proprietor

Kelly Boardman, LCMHC

Counselor, Mental Health in Burlington, Vermont

NPI Number1053284679
Practice location
142 S Williams St, Burlington, VT 05405-1770
Fax
—
Last updated
September 29, 2025

Kelly Boardman is a Counselor, Mental Health based in Burlington, VT. Kelly Boardman practices in Burlington, VT and has the professional credentials of LCMHC. The NPI Number for Kelly Boardman is 1053284679 and holds a License No. 068.0133244 (VT). The current practice location address for Kelly Boardman is 142 S Williams St, Burlington, VT 05405-1770 and can be reached out via phone at 802-656-3340.

Provider Profile Details

NPI Number
1053284679
Provider Name
Kelly Boardman
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
142 S Williams St, Burlington, VT 05405-1770
Phone Number
802-656-3340
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2025
Last Update Date
September 29, 2025
Certification Date
September 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
142 S Williams St
Burlington, VT 05405-1770
State
Vermont
Zip
05405-1770
Phone Number
802-656-3340
Burlington, VT 05405Get directions →

Provider Business Mailing Address Details

Address
223 Stokes Ln
Shelburne, VT 05482-6601
City
Shelburne
State
VT
Zip
05482-6601

License Information

License Number
068.0133244
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly Boardman, LCMHC?

The NPI number of Kelly Boardman, LCMHC is 1053284679. It was assigned on September 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Kelly Boardman, LCMHC?

Kelly Boardman, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0133244.

Where does Kelly Boardman, LCMHC practice?

The practice location is 142 S Williams St, Burlington, VT 05405-1770. The office can be reached at 802-656-3340 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053284679 directly on the NPPES registry website.

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