Individual provider Active NPI

Karla Jan Boeckel, LPC

  • Counselor
  • Fair Oaks Ranch, TX
National Provider Identifier
1609004688
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11847 Issued in TX
Practice address
8000 Fair Oaks Pkwy Ste 202
Fair Oaks Ranch, TX 78015-4742
Phone
(210) 618-9841
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11847 TX Primary

Addresses

Primary practice location

8000 Fair Oaks Pkwy Ste 202
Fair Oaks Ranch, TX 78015-4742

Mailing address

28224 Equestrian
Fair Oaks Ranch, TX 78015-4655
Phone (210) 618-9841

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

State licenses

LicenseStateTypeSpecialty
11847TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1609004688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28224 EQUESTRIAN",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154655",
            "telephone_number": "210-618-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FAIR OAKS PKWY STE 202",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154742",
            "telephone_number": "210-618-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECKEL",
        "first_name": "KARLA",
        "middle_name": "JAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "11847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks Ranch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.