Active NPI
Anthony Boyd, CIT
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1366931784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darcie R Clark LPCC LLC | Mental Health | Current | 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.