Daniel Boylan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008488 Issued in GA

Practice address

2565 Thompson Bridge Rd Ste 111
Gainesville, GA 30501-1723

Phone

(706) 229-2211

NPI assigned

Jun 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235588872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 CHRISTOPHER DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012218",
            "telephone_number": "706-229-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 THOMPSON BRIDGE RD STE 111",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011723",
            "telephone_number": "706-229-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Old Dawson Village Rd E",
            "address_2": "STE 010",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305343816",
            "country_code": "US",
            "telephone_number": "706-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "DANIEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wilmer D Bradley

• Professional Counselor in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.