Individual provider Active NPI

Jacob William Boyle, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1003792540
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0040073 Issued in OH
Practice address
49711 N Park Cir
East Liverpool, OH 43920-8981
Phone
(234) 736-6795
Fax
(234) 259-1003
NPI assigned
Aug 12, 2025
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0040073 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110539 WV

Addresses

Primary practice location

49711 N Park Cir
East Liverpool, OH 43920-8981

Mailing address

49711 N Park Cir
East Liverpool, OH 43920-8981
Phone (234) 736-6795

Other practice location 1

310 American Way Ste A
Weirton, WV 26062-4083
Phone (304) 797-6410

Other practice location 2

4680 Douglas Cir NW
Canton, OH 44718-3619
Phone (330) 703-6578

Other practice location 3

15613 Pineview Dr Ste 3C
East Liverpool, OH 43920-9096
Phone (330) 932-1594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251106003095 WV Practitioner - Nurse Practitioner 3072003219 Reassigns benefits to 1 organization
I20251112003906 OH Practitioner - Nurse Practitioner 3072003219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cope Treatment Centers inGroup PAC ID 1951404540, 12 clinicians
Cognitive Medicine Practice PLLCGroup PAC ID 8527242759, 10 clinicians

Practice addresses (Care Compare)

15613 Pineview Dr
Suite 3C
East Liverpool, OH 43920-9096
Phone (330) 542-9920

310 American Way
Suite a
Weirton, WV 26062-4083
Phone (304) 797-6518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0040073OHMDPsychiatric/Mental Health Nurse Practitioner
110539WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Treatment Centers in Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Cognitive Medicine Practice PLLC Single Specialty CurrentSince Oct 6, 2025 Accepting new patients
Boyle Behavioral Health Solutions Psychiatric/Mental Health PastSince Aug 17, 2025 Accepting new patients

Locations

15613 Pineview Dr
Ste 3C
East Liverpool, OH 43920
Phone (330) 386-7870

15613 Pineview Dr
Ste C
East Liverpool, OH 43920
Phone (330) 382-1422

310 American Way
#A
Weirton, WV 26062
Phone (304) 797-6410

Organizations & group practices 3

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1003792540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49711 N PARK CIR",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208981",
            "telephone_number": "234-736-6795",
            "fax_number": "234-259-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49711 N PARK CIR",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208981",
            "telephone_number": "234-736-6795",
            "fax_number": "234-259-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 American Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260624083",
            "country_code": "US",
            "telephone_number": "304-797-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4680 Douglas Cir NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447183619",
            "country_code": "US",
            "telephone_number": "330-703-6578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15613 Pineview Dr Ste 3C",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209096",
            "country_code": "US",
            "telephone_number": "330-932-1594",
            "fax_number": "330-368-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0040073",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "110539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.