Individual provider Active NPI

Lynette Boyce Dover, LCMHC

  • Mental Health Counselor
  • Rutherfordton, NC
National Provider Identifier
1104268291
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17977 Issued in NC
Practice address
131 W 2ND St
Rutherfordton, NC 28139-2448
Phone
(828) 202-3075
Fax
(828) 245-8818
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X NC
Mental Health Counselor 101YM0800X 17977 NC Primary

Addresses

Primary practice location

131 W 2ND St
Rutherfordton, NC 28139-2448

Mailing address

131 W 2ND St
Rutherfordton, NC 28139-2448
Phone (828) 202-3075

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240716001827 NC Practitioner - Mental Health Counselor 7810439007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Ridge HopeGroup PAC ID 8921473190, 6 clinicians

Practice addresses (Care Compare)

131 W 2ND St
Rutherfordton, NC 28139-2448

314 US Hwy 221a
Forest City, NC 28043-5902
Phone (828) 202-3075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17977NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Hope Mental Health CurrentSince May 14, 2024 Accepting new patients

Locations

314 US Highway 221A
Forest City, NC 28043
Phone (828) 202-3075

131 W 2nd St
Rutherfordton, NC 28139
Phone (704) 287-2984

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1104268291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 2ND ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392448",
            "telephone_number": "828-202-3075",
            "fax_number": "828-245-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 2ND ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392448",
            "telephone_number": "828-202-3075",
            "fax_number": "828-245-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "LYNETTE",
        "middle_name": "BOYCE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

Verify at the official NPI Registry.