Individual provider Active NPI

Anna M. Boyle, M.ED. BSL

  • Mental Health Counselor
  • Daytona Beach, FL
National Provider Identifier
1457761116
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
104 Lacosta LN Ste 120
Daytona Beach, FL 32114-8160
Phone
(386) 304-7600
NPI assigned
May 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 Primary
Behavior Analyst 103K00000X BH000038 PA

Addresses

Primary practice location

104 Lacosta LN Ste 120
Daytona Beach, FL 32114-8160

Mailing address

1515 San Marco Dr Apt 108
Ormond Beach, FL 32174-0633
Phone (610) 739-8650

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
Credentials
Bachelor of Science - Law, Master of Education

State licenses

LicenseStateTypeSpecialty
BH000038PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1399161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1457761116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAN MARCO DR APT 108",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740633",
            "telephone_number": "610-739-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LACOSTA LN STE 120",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321148160",
            "telephone_number": "386-304-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "ANNA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.ED. BSL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-04",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.