Individual provider Active NPI

Jane M Boyd

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1417641572
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013837 Issued in PA
Practice address
3100 Hecktown Rd
Bethlehem, PA 18020-2006
Phone
(484) 241-1476
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013837 PA Primary

Addresses

Primary practice location

3100 Hecktown Rd
Bethlehem, PA 18020-2006

Mailing address

353 Park Ave
Bethlehem, PA 18020-9621
Phone (484) 241-1476

Other practice location 1

6201 Hamilton Blvd Ste 219
Wescosville, PA 18106-9796
Phone (484) 241-1476

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
PC013837PAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1417641572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 PARK AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209621",
            "telephone_number": "484-241-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HECKTOWN RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180202006",
            "telephone_number": "484-241-1476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Hamilton Blvd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Wescosville",
            "state": "PA",
            "postal_code": "181069796",
            "country_code": "US",
            "telephone_number": "484-241-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JANE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.