Individual provider Active NPI

Suzanne Alethia Boston, LCSW-A

  • Mental Health Counselor
  • Burlington, NC
National Provider Identifier
1215681853
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P016099 Issued in NC
Practice address
746 Shawnee Dr
Burlington, NC 27215-7921
Phone
(914) 844-0774
NPI assigned
Feb 11, 2022
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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 P016099 NC Primary

Addresses

Primary practice location

746 Shawnee Dr
Burlington, NC 27215-7921

Mailing address

110 Lake Point Dr
Clayton, NC 27527-5218
Phone (914) 844-0774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzanneboston@aucncllc.com A United Community, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P016099NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1215681853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKE POINT DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275218",
            "telephone_number": "914-844-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 SHAWNEE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157921",
            "telephone_number": "914-844-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "SUZANNE",
        "middle_name": "ALETHIA",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P016099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanneboston@aucncllc.com",
            "affiliation": "Y",
            "affiliationName": "A United Community, LLC",
            "address_1": "746 Shawnee Dr",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272157921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.