Individual provider Active NPI

Cynthia Renee Boyle, L.M.H.C., N.C.C.

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1386945327
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001289 Issued in IA
Practice address
1409 W 4TH St
Waterloo, IA 50702-2907
Phone
(319) 610-4179
Fax
(888) 853-4291
NPI assigned
Nov 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401019661 MI
Professional Counselor 101YP2500X 55918 MT
Mental Health Counselor 101YM0800X 001289 IA Primary
Professional Counselor 101YP2500X 10230-125 WI

Addresses

Primary practice location

1409 W 4TH St
Waterloo, IA 50702-2907

Mailing address

1409 W 4TH St
Waterloo, IA 50702-2907
Phone (319) 610-4179

Other practice location 1

2001 Laurin Ct
Missoula, MT 59801-7060
Phone (406) 493-8578

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

State licenses

LicenseStateTypeSpecialty
6401019661MIMDProfessional Counselor
55918MTMDProfessional Counselor
10230-125WIMDProfessional Counselor
001289IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boyle Counseling & Consulting LLC Mental Health Past Accepting new patients

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1386945327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022907",
            "telephone_number": "319-610-4179",
            "fax_number": "888-853-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022907",
            "telephone_number": "319-610-4179",
            "fax_number": "888-853-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Laurin Ct",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598017060",
            "country_code": "US",
            "telephone_number": "406-493-8578",
            "fax_number": "888-853-4291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "CYNTHIA",
        "middle_name": "RENEE",
        "credential": "L.M.H.C., N.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019661",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "55918",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001289",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10230-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.