Mary Margaret Boyle, LPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00667900 Issued in NJ

Practice address

1002 Grandview Ave
Westfield, NJ 07090-1631

Phone

(908) 247-0630

NPI assigned

Apr 23, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2021.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1215294665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GRANDVIEW AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901631",
            "telephone_number": "908-247-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 GRANDVIEW AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901631",
            "telephone_number": "908-247-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Main St",
            "address_purpose": "LOCATION",
            "city": "South Amboy",
            "state": "NJ",
            "postal_code": "088791142",
            "country_code": "US",
            "telephone_number": "908-247-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00316100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00667900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Valdes Borja, M.D.
• Jamie Bornstein, OTR/L
• Zaliyah B Boston
• Dan R. Bottorff, M.DIV.
• Susan Brown Bottorff, MSW, LCSW
• Tara Bradshaw
• Ray Brathwaite
• Breakthrough Counseling and Consultation Services LLC
• Wendy Sue Bregman
• Victoria M Breitweiser, MSW, LSW

• All providers in Westfield, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.