Darin Michael Boylan, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

005659 Issued in GA

Practice address

103 Wayne Ave
Valdosta, GA 31602-2582

Phone

(229) 244-9688

Fax

(229) 244-5354

NPI assigned

Aug 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephanie S Gee MD PC

  • Community/Behavioral Health Agency
  • Valdosta, GA
  • NPI 1194988105
  NPD (past)
• Therapy Center Valdosta, LLC

  • Psychiatry Physician
  • Valdosta, GA
  • NPI 1720235518

  Professional

  NPD (past)

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1457583890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WAYNE AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022582",
            "telephone_number": "229-244-9688",
            "fax_number": "229-244-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WAYNE AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022582",
            "telephone_number": "229-244-9688",
            "fax_number": "229-244-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "DARIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie P. Bowling, PA-C
• Shawna Yvette Bowman
• Raven Boyd, R.N.
• Kimberly Maria Boyett, LMSW
• Pollyanna Marie Boykin, FNP-C
• Allison Brianna Brack, OTD/OTR/L
• Susan Bradley, BCBA
• Susan L Bradshaw, LCSW
• Alford Timothy Brady, MD
• Lisa Elaine Brady, B.A.. P.P.

• Professional Counselor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.