Jeanine Boykin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

C8044 Issued in MS

Practice address

33 Lake Heritage Rd
Laurel, MS 39443-8544

Phone

(601) 705-1901

NPI assigned

Aug 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Trilogy Integrated Health Care, Inc. of Georgia

  • Rural Health Clinic/Center
  • Jasper, GA
  • NPI 1235181322
  NPD (past)

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1114159704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LAKE HERITAGE RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394438544",
            "telephone_number": "601-705-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LAKE HERITAGE RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394438544",
            "telephone_number": "601-705-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "JEANINE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "C8044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bounds Family Dental
• Ali Bounds, DMD
• James A Bounds, D.M.D.
• Barbara A. Boyd, P233404
• Marsha Diane Boyd, OT
• Brad Holifield, D.M.D., P.a.
• Jessica Rose Braddock, MS CCC-SLP
• Sheila Diane Bradford, FNP
• Judith Lynn Bradley, M.D.
• Maylen Musgrove Brady, PA-C

• All providers in Laurel, MS
• Marriage & Family Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.