Individual provider Active NPI

Nellie Boyd, LCPC

  • Mental Health Counselor
  • New Town, ND
National Provider Identifier
1396934295
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-1045-12-1 Issued in ND
Practice address
304 7TH St N
New Town, ND 58763-5876
Phone
(701) 627-4700
Fax
(701) 627-4105
NPI assigned
Oct 17, 2007
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-178 SD
Mental Health Counselor 101YM0800X LCPC-1286 MT
Mental Health Counselor 101YM0800X LPC-1045-12-1 ND Primary
Marriage & Family Therapist 106H00000X LMFT-84 MT

Addresses

Primary practice location

304 7TH St N
New Town, ND 58763-5876

Mailing address

404 Frontage Rd
New Town, ND 58763-9404
Phone (701) 627-4700

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
LCPC-1286MTMDMental Health Counselor
LPC-178SDMDMental Health Counselor
LMFT-84MTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Life Recovery Center CurrentSince Oct 9, 2022 Accepting new patients
Confederated Salish & Kootenai Tribes of the Flathead Reservation Past Accepting new patients
Confederated Salish and Kootenai Tribes of the Flathead Reservation Past Accepting new patients

Locations

404 Frontage Rd
New Town, ND 58763
Phone (701) 627-4700

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1396934295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 FRONTAGE RD",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639404",
            "telephone_number": "701-627-4700",
            "fax_number": "701-627-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 7TH ST N",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587635876",
            "telephone_number": "701-627-4700",
            "fax_number": "701-627-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "NELLIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-178",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "LCPC-1286",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "LPC-1045-12-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "LMFT-84",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.