Active NPI
Steven Justin Boul, NCC, LPC(BE)
- Counselor
- Archdale, NC
National Provider Identifier
1538396288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 205 Balfour Dr
Archdale, NC 27263-3117 - Phone
- (336) 431-0700
- Fax
- (336) 431-0762
- NPI assigned
- Jun 19, 2009
- Last updated
- Apr 22, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
205 Balfour Dr
Archdale, NC 27263-3117
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1538396288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BALFOUR DR",
"city": "ARCHDALE",
"state": "NC",
"postal_code": "272633117",
"telephone_number": "336-431-0700",
"fax_number": "336-431-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUL",
"first_name": "STEVEN",
"middle_name": "JUSTIN",
"credential": "NCC, LPC(BE)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Archdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.