Individual provider Active NPI

Luke Evan Boone, LPC

  • Mental Health Counselor
  • Rocky Mount, VA
National Provider Identifier
1083202295
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701010176 Issued in VA
Practice address
130 Ruritan Rd
Rocky Mount, VA 24151-5238
Phone
(540) 420-6427
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701010176 VA Primary

Addresses

Primary practice location

130 Ruritan Rd
Rocky Mount, VA 24151-5238

Mailing address

130 Ruritan Rd
Rocky Mount, VA 24151-5238
Phone (540) 420-6427

Other practice location 1

1746 S Main St
Rocky Mount, VA 24151-5974
Phone (540) 484-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701010176VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Above the Storm, LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

98 Wirtz Rd
Ste 202
Wirtz, VA 24184
Phone (540) 352-9553

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1083202295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RURITAN RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515238",
            "telephone_number": "540-420-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RURITAN RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515238",
            "telephone_number": "540-420-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1746 S Main St",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "VA",
            "postal_code": "241515974",
            "country_code": "US",
            "telephone_number": "540-484-7041",
            "fax_number": "540-484-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "LUKE",
        "middle_name": "EVAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.