Individual provider Active NPI

Danielle Lauren Boisvert, PHD

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1366064990
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1847-MH-MF Issued in MA
Practice address
20 N Wacker Dr Ste 1442
Chicago, IL 60606-2906
Phone
(312) 372-4731
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT000233 RI
Marriage & Family Therapist 106H00000X 1847-MH-MF MA Primary
Marriage & Family Therapist 106H00000X 166.001376 IL

Addresses

Primary practice location

20 N Wacker Dr Ste 1442
Chicago, IL 60606-2906

Mailing address

36 Captain John Jacobs Rd Apt 107
East Providence, RI 02914-5370
Phone (203) 215-3840

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
I20240226003329 MA Practitioner - Mental Health Counselor 3173968443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

2300 Crown Colony Dr
Suite 202
Quincy, MA 02169-0902
Phone (781) 551-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
166.001376ILMDMarriage & Family Therapist
1847-MH-MFMAMDMarriage & Family Therapist
MFT000233RIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

1280 W Central St
Ste 201
Franklin, MA 02038
Phone (508) 541-2436

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

2300 Crown Colony Dr
Ste 202
Quincy, MA 02169
Phone (617) 405-5735

169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766

Organizations & group practices 1

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": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1366064990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CAPTAIN JOHN JACOBS RD APT 107",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145370",
            "telephone_number": "203-215-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR STE 1442",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062906",
            "telephone_number": "312-372-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "DANIELLE",
        "middle_name": "LAUREN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MFT000233",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1847-MH-MF",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.