Active NPI
Cynthia Renee Boyle, L.M.H.C., N.C.C.
- Mental Health Counselor
- Waterloo, IA
National Provider Identifier
1386945327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001289
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401019661 | MI | MD | Professional Counselor |
| 55918 | MT | MD | Professional Counselor |
| 10230-125 | WI | MD | Professional Counselor |
| 001289 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Waterloo, IA
- NPI 1447510623
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.