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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. COURTNEY R. BODDIE, PH.D.

Active Sole Proprietor

DR. COURTNEY R. BODDIE, PH.D. is a Professional Counselor healthcare provider located in COLLINSVILLE, Illinois. NPI 1851830442 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · COLLINSVILLE, IL

Registration Details

NPI Number
1851830442
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2017 (9.4752492914 yrs)
Last Updated
Sep 19, 2025
Licenses
180012537 (IL)
2016010174 (MO)
MHC01791 (RI)
Sole Proprietor
Yes

Practice Information

Address
122 PINE HOLLOW LN
COLLINSVILLE, IL, 622344783
Browse IL providers · Browse ZIP 62234
Phone
6184017407
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in COLLINSVILLE, IL

Name Credential NPI
MRS. JUDY P SLEDGE LCPC CEAP 1215015391
MRS. PEARL PURINO CAMPBELL MA 1578611059
PATRICIA MCDERMOTT LCPC 1457475642
MRS. KATHYRN RENEE KAROUZOS M.S., L.P.C. 1427291772
DARCENE ROSE DOWLING LPC 1033440730
MELISSA ANN WHITE LPC, LCPC 1285066464
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.