Active NPI
Alyssa Kay Boardman, LMHC
- Mental Health Counselor
- Westerly, RI
National Provider Identifier
1124590591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC01002
- Practice address
- 43 Broad St Ste B
Westerly, RI 02891-1977 - Phone
- (401) 596-2302
- NPI assigned
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC01002 | RI | Primary |
Addresses
Primary practice location
43 Broad St Ste B
Westerly, RI 02891-1977
Mailing address
40 Riverdale Rd
Westerly, RI 02891-2824
Phone (617) 595-6651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251016003370 | CT | Practitioner - Mental Health Counselor | 0345737854 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Williams Counseling LLC
Practice addresses (Care Compare)
97 Main St
Manchester, CT 06042-3141
Phone (860) 470-6002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC01002 | RI | MD | Mental Health Counselor |
| 008330 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Counseling, LLC | Current | Accepting new patients | |
| New England Center for Anxiety LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Westerly, RI
- NPI 1467903344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1124590591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 RIVERDALE RD",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912824",
"telephone_number": "617-595-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 BROAD ST STE B",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028911977",
"telephone_number": "401-596-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOARDMAN",
"first_name": "ALYSSA",
"middle_name": "KAY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-26",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC01002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.