Joseph D. Boivin, LPC/LADC/CHES

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001186 Issued in CT

Practice address

16 Main St
Ellington, CT 06029-3360

Phone

(860) 871-5402

Fax

(860) 871-5413

NPI assigned

Aug 16, 2008

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Clinical Psychologist

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrity Care and Counseling Services LLC

  • Professional Counselor
  • Ellington, CT
  • NPI 1942792403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1366698722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 DAY HILL RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951722",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293360",
            "telephone_number": "860-871-5402",
            "fax_number": "860-871-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIVIN",
        "first_name": "JOSEPH",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "LPC/LADC/CHES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000565",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Benco
• Alexander Bermudez
• Michael Bey, MD
• Big Y Foods Inc (Big Y Pharmacy #73)
• Bloomwell Counseling PLLC
• Lauri F. Boscarino
• Lisa P. Burch, LCSW
• Jessica L Cavallaro, PHARM.D.
• Joseph P Cavanagh, LMT
• Marcie Fay Charest, M.S CCC-SLP

• Professional Counselor in Ellington, CT
• Providers in Ellington, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.