Jeremy Scott Boyle, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10382604-3902 Issued in UT

Practice address

9055 S 1300 E Ste 12
Sandy, UT 84094

Phone

(801) 657-5312

Fax

(385) 250-2143

NPI assigned

Jan 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Boyle Counesling and Consultation, PLLC

  • Marriage & Family Therapist
  • Sandy, UT
  • NPI 1609297167
  NPD (past) Authorized official

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1225276611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 S 1300 E STE 12",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943190",
            "telephone_number": "801-657-5312",
            "fax_number": "801-653-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 S 1300 E STE 12",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84094",
            "telephone_number": "801-657-5312",
            "fax_number": "385-250-2143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 E 9400 S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943692",
            "country_code": "US",
            "telephone_number": "801-657-5312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10382604-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200592530A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin Anthony Bouwhuis, OTR/L
• Paula Beth Bowers, MD
• Stephanie Bowman
• Becky Lyn Boyack, M.ED., CCC-SLP
• Boyle Counesling and Consultation, PLLC
• Andrew Todd Bracken, O.T.R
• Bradley V Fellows Inc
• Steven Taylor Brady, MD
• Patrick Brain, DDS
• Tina Lyn Braithwaite

• Marriage & Family Therapist in Sandy, UT
• Providers in Sandy, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.