Mitch Paul Boykan, MASTER OF COUNSELING

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC0071 Issued in AZ

Practice address

11225 North 28TH Drive
Suite D213
Phoenix, AZ 85029

Phone

(602) 993-4323

Fax

(602) 993-0867

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508947433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WEST LANE AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85051",
            "telephone_number": "602-973-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 NORTH 28TH DRIVE",
            "address_2": "SUITE D213",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-993-4323",
            "fax_number": "602-993-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKAN",
        "first_name": "MITCH",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MASTER OF COUNSELING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC0071",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LISAC0749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E. Boye, PSY.D.
• Braden Boyer, M.D.
• Bridgette Boyer, PA-C
• Melody Anne Boyet, LCSW
• Shanelle Lynn Boyet
• Justin Levon Boykin
• Brandon Boyle
• Cathy Boyle, PNP
• Daniel Patrick Boyle, R.PH.
• Kathleen Ashley Boyle

• Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.