Kraig Boyd, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-4409 Issued in ID

Practice address

343 E Bonneville St
Pocatello, ID 83201-6434

Phone

(208) 233-9135

Fax

(208) 233-9136

NPI assigned

Mar 24, 2015

Last updated

Mar 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Road to Recovery

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1457791634
  NPD (past)
• Road to Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lava Hot Springs, ID
  • NPI 1437685799
  NPD (past)

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1043604408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6249",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832056249",
            "telephone_number": "208-233-9135",
            "fax_number": "208-233-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E BONNEVILLE ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016434",
            "telephone_number": "208-233-9135",
            "fax_number": "208-233-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KRAIG",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "LPC-4409",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Bowler-Spohnholz
• Nicholas J Box, P.A.
• Alisha Janette Boyce, LCSW
• Richard Boyce
• Colten Boyd, DNP
• Travis Boyer, D.M.D.
• Julia Boyle, PHARMD
• Renee Lynn Bozorg-Omid, LPC
• Brace Place LTD
• Andrew Bradbury, MD

• Professional Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.