Kelly Michelle Boyle, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60747904 Issued in WA

Practice address

203 4TH Ave E Ste 420
Olympia, WA 98501-1189

Phone

(360) 701-1019

NPI assigned

Aug 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1063189983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PIONEER AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063300",
            "telephone_number": "360-701-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 4TH AVE E STE 420",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011189",
            "telephone_number": "360-701-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60747904",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Boyd
• Djana Lynelle Boyd
• Michael Boyd, M.D.
• Michelle Angela Boylan, L.M.P.
• Sharon E Boyle-Connelly, LICSW
• Pamela Elaine Boyles, OTR/L
• Samuel J. Boynton, MD
• Claire Boyte-White
• James Hartley Bracken, LMT
• Jami Hunter Bracy, OC00001237

• All providers in Olympia, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.