Individual provider Active NPI

Elaine D Boyle, MA, LMHC

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1609919414
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00011350 Issued in WA
Practice address
10721 92ND Street CT SW
Tacoma, WA 98498-1943
Phone
(263) 225-8086
NPI assigned
Feb 14, 2007
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00046969 WA
Mental Health Counselor 101YM0800X 00011350 WA Primary

Addresses

Primary practice location

10721 92ND Street CT SW
Tacoma, WA 98498-1943

Mailing address

10721 92ND Street CT SW
Tacoma, WA 98498-1943
Phone (263) 225-8086

Other practice location 1

5455 Almira Dr SE
Bremerton, WA 98311-8330
Phone (360) 373-5031

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
00011350WAMDMental Health Counselor
RC00046969WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1609919414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 92ND STREET CT SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984981943",
            "telephone_number": "263-225-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 92ND STREET CT SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984981943",
            "telephone_number": "263-225-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5455 Almira Dr SE",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983118330",
            "country_code": "US",
            "telephone_number": "360-373-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "ELAINE",
        "middle_name": "D",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00046969",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "00011350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.