Carol Lindley Boothroyd, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

L2430058 Issued in MI

Practice address

1714 Eastman Ave
Midland, MI 48640-4216

Phone

(989) 631-5390

Fax

(989) 631-0488

NPI assigned

May 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Family & Childrens Services Mid-Michigan FCSM

  • Mental Health Counselor
  • Midland, MI
  • NPI 1144275660
  NPD (past)
• Still Water Professional Counseling, LLC

  • Professional Counselor
  • Midland, MI
  • NPI 1609381631
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1033554258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "address_2": "FAMILY AND CHILDREN'S SERVICES",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390",
            "fax_number": "989-631-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390",
            "fax_number": "989-631-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHROYD",
        "first_name": "CAROL",
        "middle_name": "LINDLEY",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L2430058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Bond, FNP
• Shay Bonham
• Blake Bonkowski, PHARMD
• Rebecca Ann Boos
• Stephanie Booth
• Paul R Boothroyd Jr., LPC
• Valerie Born
• Samantha Borowiak
• David T. Bortel, M.D.
• Kirk J Bortel, M.D.

• Professional Counselor in Midland, MI
• Providers in Midland, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.