Charles Russell Boyd Jr., LPC
Individual provider Active NPI Mental Health Counselor · Olathe, KS
NPI 1427262146 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1427262146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC 1855 (KS)
- Practice address
- 21350 W 153Rd St
Olathe, KS 66061-5413 - Phone
- (913) 322-2400
- Fax
- (913) 621-5730
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 1855 | KS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 1855 | KS | Yes |
Addresses
Primary practice location
21350 W 153Rd St
Olathe, KS 66061-5413
Mailing address
18788 Harveyville Rd
Harveyville, KS 66431-9220
Phone (785) 828-3411
Other providers in Olathe, KS
- Lara Bowen
- Mary E Bowersox
- Mary Bowman
- Todd A Bowman
- Katharine Paige Boxberger
- James Boyd
- Alyssa Shawn Boyer
- James Keith Bradley
- Mary Katheryn Bradley
- Sydnee Bradley
All providers in Olathe, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.