Individual provider Active NPI

Ta'Erra Jalisa Boykin

  • Counselor
  • Cleveland, OH
National Provider Identifier
1326506254
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2505522 Issued in OH
Practice address
600 Superior Ave Ste 1300
Cleveland, OH 44114-2654
Phone
(330) 964-3031
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2505522 OH
Counselor 101Y00000X E.2505522 OH Primary

Addresses

Primary practice location

600 Superior Ave Ste 1300
Cleveland, OH 44114-2654

Mailing address

1776 W Waterford CT Apt 1726
Akron, OH 44313-8399
Phone (330) 964-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250828004069 OH Practitioner - Mental Health Counselor 5991206245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

900 Mull Ave
Akron, OH 44313-7597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2505522OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Ministries, Inc Mental Health CurrentSince Jul 14, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 2, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

900 Mull Ave
Akron, OH 44313
Phone (330) 867-5603

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1326506254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 W WATERFORD CT APT 1726",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443138399",
            "telephone_number": "330-964-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUPERIOR AVE STE 1300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142654",
            "telephone_number": "330-964-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "TA'ERRA",
        "middle_name": "JALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2505522",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2505522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.