Lavondra Alicia Boyd

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2543 Ravenhill Dr Ste B
Fayetteville, NC 28303

Phone

(910) 339-1928

Fax

(910) 339-8450

NPI assigned

Jan 2, 2009

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

Other names 1

• Lavondra Alicia McCloud Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

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.

• Freeurmind Counselingand Supportive Services PLLC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1649979949
  NPD Authorized official
• Positive Impact 910, LLC

  dba Positive Impact

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1831959725

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1053557637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 RAVENHILL DR STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035459",
            "telephone_number": "910-339-1928",
            "fax_number": "910-339-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 RAVENHILL DR STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28303",
            "telephone_number": "910-339-1928",
            "fax_number": "910-339-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "LAVONDRA",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVONDRA",
            "last_name": "MCCLOUD",
            "middle_name": "ALICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Malika Bowser, QP,MSW,LCSW-A,LCAS-A
• Kelita Box
• Nycole Boyce
• Chelsea Nicholette Boyd, MSN, CPNP-PC
• Kerri Lynn Boyd Sr., CMSW
• Maritza B Boyd, NP-BC
• Olivia Boyd
• Lydia Boyette, DO
• Kerri Ann Boykin, LCSWA
• Veronica Johnson Boykin

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.