Joshua Larnelle Boyd, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17801509 Issued in IL

Practice address

9241 S Il Route 31
Lake in the Hills, IL 60156-1607

Phone

(847) 854-4333

Fax

(847) 854-4334

NPI assigned

Aug 13, 2019

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1467008722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 S IL ROUTE 31",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561607",
            "telephone_number": "847-854-4333",
            "fax_number": "847-854-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 S IL ROUTE 31",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561607",
            "telephone_number": "847-854-4333",
            "fax_number": "847-854-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JOSHUA",
        "middle_name": "LARNELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "17801509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LakeInTHeHIlls",
            "affiliation": "N",
            "address_1": "9241 S Il Route 31",
            "city": "Lake IN The Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601561607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LakeInTHeHIlls",
            "affiliation": "N",
            "address_1": "9241 S Il Route 31",
            "city": "Lake IN The Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601561607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.