Lauren Tye Boatman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

79941 Issued in TX

Practice address

938 Main St
Sulphur Springs, TX 75482-3829

Phone

(903) 348-1156

Fax

(903) 765-7194

NPI assigned

Dec 11, 2019

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1053959908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FARM ROAD 2560",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754828706",
            "telephone_number": "903-348-1156",
            "fax_number": "903-765-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 MAIN ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754823829",
            "telephone_number": "903-348-1156",
            "fax_number": "903-765-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATMAN",
        "first_name": "LAUREN",
        "middle_name": "TYE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "79941",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79941",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79941",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "79941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Thomas Beuke, APRN, FNP-C
• Lara Jennifer Beverly, P.A.
• Big Country Rehabilitation Inc (Steps 2 Strides of Sulphur Springs)
• Rosie Blackstock, COTA
• Blue Ribbon 02 Testing LLC
• Robin Boshears, D.C.
• Bright Star Counseling
• Broadway Smiles PC
• Brooks Hearing Clinic
• Ginger Rene Brooks, LPC

• Mental Health Counselor in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.