Individual provider Active NPI

Shelley K. Boyce, LMHP, CPC

  • Mental Health Counselor
  • Ord, NE
National Provider Identifier
1164561445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2040 Issued in NE
Practice address
100 N 15TH St
Ord, NE 68862-1458
Phone
(308) 728-9979
Fax
(308) 728-9980
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2040 NE Primary

Addresses

Primary practice location

100 N 15TH St
Ord, NE 68862-1458

Mailing address

PO Box 141
Ord, NE 68862-0141
Phone (308) 728-9979

Other identifiers 1

IdentifierTypeStateIssuer
10025457100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240621000419 NE Practitioner - Mental Health Counselor 9133662927 Practice locations: Ord, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

314 S 14TH St
Ord, NE 68862-1754
Phone (308) 728-9979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1618NEMDGeneral Practice Physician
2040NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shelley K Boyce PastSince Apr 22, 2024 Accepting new patients

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164561445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688620141",
            "telephone_number": "308-728-9979",
            "fax_number": "308-728-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 15TH ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621458",
            "telephone_number": "308-728-9979",
            "fax_number": "308-728-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "SHELLEY",
        "middle_name": "K.",
        "credential": "LMHP, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025457100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.