Susan Boyce

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC5230 Issued in ME

Practice address

209 Lincoln Ave
Gardiner, ME 04345-2527

Phone

(207) 203-8485

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1073059291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LINCOLN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452527",
            "telephone_number": "207-203-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LINCOLN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452527",
            "telephone_number": "207-203-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC5230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly Marie Beauregard, PHARMD
• Christiane Becker-Varney
• Bio-Medical Applications of Maine, Inc. (Fresenius Kidney Care Gardiner)
• Richard Wendell Bothfeld, AU.D., F-AAA, C-AAA
• Diana J Bowen, LCPC
• Curtis Garfield Brown
• Amy Wyeth Buck
• Marjorie Demirs Burgess, LPC
• Ellen Burnham
• C&M Consulting and Management

• Professional Counselor in Gardiner, ME
• Providers in Gardiner, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.