Individual provider Active NPI

Sheena Louise Boyd, M.A., LMFT

  • Marriage & Family Therapist
  • Lake Havasu City, AZ
National Provider Identifier
1376972455
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109664 Issued in CA
Practice address
1520 Acoma LN W
Lake Havasu City, AZ 86403-2451
Phone
(714) 469-6575
NPI assigned
Nov 8, 2013
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF74041 CA
Marriage & Family Therapist 106H00000X 109664 CA Primary

Addresses

Primary practice location

1520 Acoma LN W
Lake Havasu City, AZ 86403-2451

Mailing address

1520 Acoma LN W
Lake Havasu City, AZ 86403-2451
Phone (714) 469-6575

Other practice location 1

555 Technology Ct
Riverside, CA 92507-2155
Phone (951) 686-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250826005188 CA Practitioner - Marriage and Family Therapist 1052811619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3024 Indian Head Dr
Lake Havasu City, AZ 86406-8640

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF74041CAMDMarriage & Family Therapist
109664CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Aug 4, 2025 Accepting new patients
Olive Crest PastSince Mar 11, 2025 Accepting new patients
Olive Crest PastSince Nov 10, 2024 Accepting new patients

Locations

4470 W Sunset Blvd
Ste 107
Los Angeles, CA 90027
Phone (323) 701-0371

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1376972455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ACOMA LN W",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032451",
            "telephone_number": "714-469-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ACOMA LN W",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032451",
            "telephone_number": "714-469-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Technology Ct",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072155",
            "country_code": "US",
            "telephone_number": "951-686-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SHEENA",
        "middle_name": "LOUISE",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF74041",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.