Active NPI
Aleksandr Boyko
- Counseling Psychologist
- Aurora, CO
National Provider Identifier
1134510993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LPC.0012196
- Practice address
- 13710 E Rice PL
Aurora, CO 80015 - Phone
- (720) 507-6035
- NPI assigned
- Feb 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LPC.0012196 | CO | Primary |
| Professional Counselor | 101YP2500X | LPC.0012196 | CO |
Addresses
Primary practice location
13710 E Rice PL
Aurora, CO 80015
Mailing address
4548 S Atchison Way
Aurora, CO 80015-5648
Phone (303) 929-2176
Other practice location 1
4548 S Atchison Way
Aurora, CO 80015-5648
Phone (303) 929-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13791 E Rice PL
Suite 200
Aurora, CO 80015-1081
Phone (720) 507-6035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0012196 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dart Center LLC | Professional | Current | Accepting new patients |
Locations
13791 E Rice Pl
Ste 200
Aurora, CO 80015
Phone (720) 507-6035
13710 E Rice Pl
Ste 220
Aurora, CO 80015
Phone (509) 496-7228
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": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1134510993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4548 S ATCHISON WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800155648",
"telephone_number": "303-929-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13710 E RICE PL",
"city": "AURORA",
"state": "CO",
"postal_code": "80015",
"telephone_number": "720-507-6035"
}
],
"practiceLocations": [
{
"address_1": "4548 S Atchison Way",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800155648",
"country_code": "US",
"telephone_number": "303-929-2176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYKO",
"first_name": "ALEKSANDR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-13",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "LPC.0012196",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.