David Michael Boarman, MSC LPC LISAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 0727 Issued in AZ

Practice address

11022 S 51St St
Ste 100 Ahwatukee Executive Plaza
Phoenix, AZ 85044

Phone

(602) 284-4976

Fax

(480) 753-0060

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Gail P Ericson, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1750509287
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1144355041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15257 S 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85048",
            "telephone_number": "480-759-3792",
            "fax_number": "480-753-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST",
            "address_2": "STE 100 AHWATUKEE EXECUTIVE PLAZA",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "602-284-4976",
            "fax_number": "480-753-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARMAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSC LPC LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC 0217",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC 0727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Boan, PA-C
• Imani Board
• Boardman Family Chiropractic, P.C.
• Nicole Josette Boardman Mitcham, MD, MPH
• John E Boardman, D.C.
• James D Boatman, LMSW
• Kenyon Boatman, RBT
• Yvonne Lorrain Boatman, RBT
• Amy Kathryn Boatright, FNP
• Margaret Ann Boatright, MA

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.