Individual provider Active NPI

Aleksandr Boyko

  • Counseling Psychologist
  • Aurora, CO
National Provider Identifier
1134510993
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LPC.0012196 Issued in CO
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

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226001394 CO Practitioner - Mental Health Counselor 0749625168 Reassigns benefits to 1 organization

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
Dart Center LLCGroup PAC ID 9830534254, 2 clinicians

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

LicenseStateTypeSpecialty
LPC.0012196COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dart Center LLC Professional CurrentSince Jan 2, 2024 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

Verify at the official NPI Registry.