Individual provider Active NPI

Stacie Boyar, MSED, MHC

  • Mental Health Counselor
  • Coral Springs, FL
National Provider Identifier
1548825508
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5941 N University Drive
Coral Springs, FL 33067
Phone
(954) 298-7899
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5941 N University Drive
Coral Springs, FL 33067

Mailing address

12221 NW 73Rd St
Parkland, FL 33076-4628

Other identifiers 1

IdentifierTypeStateIssuer
82-5015178MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL StacieBoyar@gmail.com

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1548825508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 NW 73RD ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 N UNIVERSITY DRIVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-298-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAR",
        "first_name": "STACIE",
        "credential": "MSED, MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-5015178",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "StacieBoyar@gmail.com",
            "affiliation": "N",
            "address_1": "5941 N University Drive",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.