Active NPIIndividual provider

Johnda A Bouthillier, LCSW, LADC

Counselor, Addiction (Substance Use Disorder) in Norwich, Connecticut

NPI Number1376582742
Practice location
47 Town St, Norwich, CT 06360-2315
Fax
860-892-7043
Last updated
September 11, 2025

Johnda Ann Bouthillier is a Counselor, Addiction (Substance Use Disorder) based in Norwich, CT. Johnda Ann Bouthillier practices in Norwich, CT and has the professional credentials of LCSW, LADC. The NPI Number for Johnda Ann Bouthillier is 1376582742 and holds a License No. 000505 (CT). The current practice location address for Johnda Ann Bouthillier is 47 Town St, Norwich, CT 06360-2315 and can be reached out via phone at 860-892-7042 and via fax at 860-892-7043.

Provider Profile Details

NPI Number
1376582742
Provider Name
Johnda Ann Bouthillier
Credential
LCSW, LADC
Provider Entity Type
Individual
Gender
Female
Address
47 Town St, Norwich, CT 06360-2315
Phone Number
860-892-7042
Fax Number
860-892-7043
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Town St
Norwich, CT 06360-2315
Zip
06360-2315
Phone Number
860-892-7042
Fax Number
860-892-7043
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
47 Town St
Norwich, CT 06360-2315
City
Norwich
State
CT
Zip
06360-2315
Phone Number
860-892-7042
Fax Number
860-892-7043

License Information

License Number (1)
000505
License State (1)
CT
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
003961
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Johnda A Bouthillier, LCSW, LADC?

The NPI number of Johnda A Bouthillier, LCSW, LADC is 1376582742. It was assigned on June 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Johnda A Bouthillier, LCSW, LADC?

Johnda A Bouthillier, LCSW, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000505.

Where does Johnda A Bouthillier, LCSW, LADC practice?

The practice location is 47 Town St, Norwich, CT 06360-2315. The office can be reached at 860-892-7042 (phone) or 860-892-7043 (fax).

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 1376582742 directly on the NPPES registry website.

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