Active NPI
Jeanne Boland
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1437401007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2942
- Practice address
- 2905 Lake Pineloch Blvd
Orlando, FL 32806-5575 - Phone
- (407) 625-0423
- NPI assigned
- Oct 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2942 | FL | Primary |
Addresses
Primary practice location
2905 Lake Pineloch Blvd
Orlando, FL 32806-5575
Mailing address
2905 Lake Pineloch Blvd
Orlando, FL 32806-5575
Phone (407) 625-0423
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 |
|---|---|---|---|
| 2942 | FL | MD | Occupational Therapist |
Interoperability endpoints
- fbh.jeanneboland@141363.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1437401007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 LAKE PINELOCH BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328065575",
"telephone_number": "407-625-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 LAKE PINELOCH BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328065575",
"telephone_number": "407-625-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLAND",
"first_name": "JEANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "2942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.