Individual provider Active NPI

Anna Olegovna Boyko, MA, LPC

  • Mental Health Counselor
  • Centennial, CO
National Provider Identifier
1245759604
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012241 Issued in CO
Practice address
7009 S Potomac St Ste 102
Centennial, CO 80112-4034
Phone
(720) 365-8152
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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 LPC.0012241 CO Primary

Addresses

Primary practice location

7009 S Potomac St Ste 102
Centennial, CO 80112-4034

Mailing address

4548 S Atchison Way
Aurora, CO 80015-5648
Phone (720) 365-8152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240226001550 CO Practitioner - Mental Health Counselor 9436594850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dart Center LLCGroup PAC ID 9830534254, 2 clinicians

Practice addresses (Care Compare)

13791 E Rice PL
Suite 200
Aurora, CO 80015-1081
Phone (720) 507-6035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0012241COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dart Center LLC CurrentSince Jan 26, 2024 Accepting new patients

Locations

13710 E Rice Pl
Ste 220
Aurora, CO 80015
Phone (509) 496-7228

13791 E Rice Pl
Ste 200
Aurora, CO 80015
Phone (720) 507-6035

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1245759604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 S ATCHISON WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155648",
            "telephone_number": "720-365-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 S POTOMAC ST STE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124034",
            "telephone_number": "720-365-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKO",
        "first_name": "ANNA",
        "middle_name": "OLEGOVNA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.