Individual provider Active NPI

William Victor O'Boyle, LPCC-S

  • Professional Counselor
  • Solon, OH
National Provider Identifier
1003546466
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0002017 Issued in OH
Practice address
33610 Solon Rd # L-2
Solon, OH 44139-2951
Phone
(440) 476-4196
NPI assigned
Jun 16, 2022
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0002017 OH Primary

Addresses

Primary practice location

33610 Solon Rd # L-2
Solon, OH 44139-2951

Mailing address

6839 Glenallen Ave
Solon, OH 44139-4035
Phone (440) 476-4196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521000492 OH Practitioner - Mental Health Counselor 1153763313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33610 Solon Rd
L 2
Solon, OH 44139-2951
Phone (440) 476-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0002017OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oboylecounselingllc CurrentSince Feb 14, 2024 Accepting new patients

Locations

33610 Solon Rd
#L2
Solon, OH 44139
Phone (440) 476-4196

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1003546466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 GLENALLEN AVE",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394035",
            "telephone_number": "440-476-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33610 SOLON RD # L-2",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392951",
            "telephone_number": "440-476-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BOYLE",
        "first_name": "WILLIAM",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.