Individual provider Active NPI

Damion L Boyd Sr., LPC

  • Professional Counselor
  • Van Wert, OH
National Provider Identifier
1255810388
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2304928 Issued in OH
Practice address
123 S Washington St
Van Wert, OH 45891-1707
Phone
(419) 771-1050
Fax
(419) 771-1051
NPI assigned
Aug 9, 2018
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X C2304928 OH Primary

Addresses

Primary practice location

123 S Washington St
Van Wert, OH 45891-1707

Mailing address

123 S Washington St
Van Wert, OH 45891-1707
Phone (419) 771-1050

Other practice location 1

35040 Chardon Rd Ste 115
Willoughby Hills, OH 44094-9004
Phone (440) 358-1159

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
C2304928OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Intervention Services LLC CurrentSince Jun 25, 2023 Accepting new patients
Belinda J. Torres, PH.D. & Associates, LLC PastSince Dec 11, 2021 Accepting new patients

Locations

123 S Washington St
Van Wert, OH 45891
Phone (419) 771-1050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1255810388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911707",
            "telephone_number": "419-771-1050",
            "fax_number": "419-771-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911707",
            "telephone_number": "419-771-1050",
            "fax_number": "419-771-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35040 Chardon Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Willoughby Hills",
            "state": "OH",
            "postal_code": "440949004",
            "country_code": "US",
            "telephone_number": "440-358-1159",
            "fax_number": "440-445-0656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "DAMION",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C2304928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.