Individual provider Active NPI

Matthew Wayne Boyd II

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1285029850
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13274 Issued in MA
Practice address
45 N Main St Ste 301
Fall River, MA 02720-2133
Phone
(508) 863-9360
Fax
(774) 250-3069
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 13274 MA Primary

Addresses

Primary practice location

45 N Main St Ste 301
Fall River, MA 02720-2133

Mailing address

45 N Main St Ste 301
Fall River, MA 02720-2133
Phone (508) 863-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240205000237 MA Practitioner - Mental Health Counselor 3870936123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45 N Main St
Suite 301
Fall River, MA 02720-2133
Phone (508) 863-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13274MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Therapy and Wellness, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Hope Is the Key Psychotherapy & Consulting PLLC Mental Health CurrentSince Nov 13, 2023 Accepting new patients

Locations

45 N Main St
Ste 301
Fall River, MA 02720
Phone (508) 677-1950

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1285029850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N MAIN ST STE 301",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202133",
            "telephone_number": "508-863-9360",
            "fax_number": "774-250-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N MAIN ST STE 301",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202133",
            "telephone_number": "508-863-9360",
            "fax_number": "774-250-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.