Active NPI
Nellie Boyd, LCPC
- Mental Health Counselor
- New Town, ND
National Provider Identifier
1396934295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-1045-12-1
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-1286 | MT | MD | Mental Health Counselor |
| LPC-178 | SD | MD | Mental Health Counselor |
| LMFT-84 | MT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle of Life Recovery Center | Current | 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.
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- NPI 1669502316
-
- Federally Qualified Health Center (FQHC)
- St Ignatius, MT
- NPI 1952402208
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.