Jaclyn Nicole Boykin, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701009581 Issued in VA

Practice address

5403 Jefferson St
Richmond, VA 23223-6007

Phone

(804) 204-9255

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  Medicare reassignment Care Compare group NPD
• Lifeline Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1720861511
  NPD Authorized official
• Lighthouse Behavioral Health Center, LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
  • NPI 1982952545
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1255962403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 JEFFERSON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236007",
            "telephone_number": "804-204-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 JEFFERSON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236007",
            "telephone_number": "804-204-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8310 Midlothian Tpke",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355163",
            "country_code": "US",
            "telephone_number": "804-447-6382",
            "fax_number": "804-447-6383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "JACLYN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0701009581",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Boyd
• Mark Boyd
• Sally Boyd
• Shannon Boyer, LCSW
• Brandon Heath Boykin, CRNA
• Joseph V Boykin Jr., MD
• Laura Boykin
• Antonio Boykins
• Revae Boykins
• Kate Boylan, DO

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.