Active NPI
Julie Lynn Boan, LPC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1023530664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3085
- Practice address
- 6711 W 121St St Ste 101
Overland Park, KS 66209-2003 - Phone
- (913) 353-8755
- NPI assigned
- Jul 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3085 | KS | Primary |
Addresses
Primary practice location
6711 W 121St St Ste 101
Overland Park, KS 66209-2003
Mailing address
15583 Ballentine St
Overland Park, KS 66221-9785
Phone (913) 681-3039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500076800000",
"number": "1023530664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15583 BALLENTINE ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662219785",
"telephone_number": "913-681-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 W 121ST ST STE 101",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092003",
"telephone_number": "913-353-8755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAN",
"first_name": "JULIE",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-15",
"last_updated": "2017-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.