Individual provider Active NPI

Anthony Boyd, CIT

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1366931784
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11 W Monument Ave Ste 100
Dayton, OH 45402
Phone
(937) 319-4448
NPI assigned
May 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 Primary

Addresses

Primary practice location

11 W Monument Ave Ste 100
Dayton, OH 45402

Mailing address

11 W Monument Ave Ste 100
Dayton, OH 45402-1293
Phone (937) 319-4448

Other practice location 1

1411 N Fairfield Rd
Beavercreek, OH 45432-2637
Phone (937) 426-2686

Other practice location 2

1411 N Fairfield Rd
Beavercreek, OH 45432-2637
Phone (937) 426-2686

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

Practice roles

OrganizationSpecialtyStatusNew patients
Darcie R Clark LPCC LLC Mental Health CurrentSince Jul 31, 2022 Accepting new patients

Locations

11 W Monument Ave
Ste 100
Dayton, OH 45402
Phone (937) 319-4448

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1366931784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W MONUMENT AVE STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021293",
            "telephone_number": "937-319-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W MONUMENT AVE STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45402",
            "telephone_number": "937-319-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 N Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322637",
            "country_code": "US",
            "telephone_number": "937-426-2686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322637",
            "country_code": "US",
            "telephone_number": "937-426-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ANTHONY",
        "credential": "CIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.