Individual provider Active NPI

John David Boyne, MA,LPC,SACIT

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1285855965
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15064-130 Issued in WI
Practice address
1334 Applegate Rd
Madison, WI 53713-3184
Phone
(608) 221-1500
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15064-130 WI Primary
Mental Health Counselor 101YM0800X 3869-125 WI

Addresses

Primary practice location

1334 Applegate Rd
Madison, WI 53713-3184

Mailing address

5214 Tolman Ter
Madison, WI 53711-3661
Phone (608) 310-9015

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15064-130WIMDAddiction (Substance Use Disorder) Counselor
3869-125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1285855965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 TOLMAN TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113661",
            "telephone_number": "608-310-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 APPLEGATE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133184",
            "telephone_number": "608-221-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MA,LPC,SACIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15064-130",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3869-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.