Active NPI
Brittany Nicole Boyd, PHD., LPC
- Professional Counselor
- Orland Park, IL
National Provider Identifier
1598460222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019006
- Practice address
- 15303 S 94TH Ave Ste 250
Orland Park, IL 60462-3825 - Phone
- (888) 428-7890
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.019006 | IL | |
| Professional Counselor | 101YP2500X | 178.019006 | IL | Primary |
Addresses
Primary practice location
15303 S 94TH Ave Ste 250
Orland Park, IL 60462-3825
Mailing address
15303 S 94TH Ave Ste 250
Orland Park, IL 60462-3825
Phone (205) 458-6732
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019006 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | Accepting new patients |
Locations
15303 S 94th Ave
Ste 250
Orland Park, IL 60462
Phone (708) 505-5205
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance
- Psychologist
- Naperville, IL
- NPI 1295914646
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1598460222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15303 S 94TH AVE STE 250",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623825",
"telephone_number": "205-458-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15303 S 94TH AVE STE 250",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623825",
"telephone_number": "888-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"credential": "PHD., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.019006",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.