Individual provider Active NPI

Reid Boland, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1417534033
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20112 Issued in FL
Practice address
7050 W Palmetto Park Rd Ste 15-169
Boca Raton, FL 33433-3426
Phone
(561) 325-9144
NPI assigned
Mar 28, 2021
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH17074 FL
Mental Health Counselor 101YM0800X MH20112 FL Primary

Addresses

Primary practice location

7050 W Palmetto Park Rd Ste 15-169
Boca Raton, FL 33433-3426

Mailing address

7050 W Palmetto Park Rd Ste 15-169
Boca Raton, FL 33433-3426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240701002035 FL Practitioner - Mental Health Counselor 0143764282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH17074FLMDMental Health Counselor
MH20112FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bishop Health Florida, LLC Mental Health CurrentSince May 21, 2024 Accepting new patients
Whole-Health, LLC CurrentSince May 21, 2024 Accepting new patients
Well Reasoned Therapy PastSince Aug 28, 2022 Accepting new patients

Locations

402 SE 6th Ave
Delray Beach, FL 33483
Phone (561) 265-1990

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1417534033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 15-169",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 15-169",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333426",
            "telephone_number": "561-325-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "REID",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH17074",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.