Individual provider Active NPI

Jennifer Boilard, LMHC

  • Mental Health Counselor
  • West Boylston, MA
National Provider Identifier
1699216523
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9677 Issued in MA
Practice address
354 W Boylston St
West Boylston, MA 01583-2373
Phone
(508) 801-3030
NPI assigned
Mar 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9677 MA Primary

Addresses

Primary practice location

354 W Boylston St
West Boylston, MA 01583-2373

Mailing address

1385 Eastford Rd
Southbridge, MA 01550-3974
Phone (508) 801-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9677MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc CurrentSince Jan 22, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Starlight Counseling Services, Inc CurrentSince Jul 27, 2020 Accepting new patients

Locations

354 W Boylston St
West Boylston, MA 01583
Phone (508) 852-3700

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1699216523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 EASTFORD RD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015503974",
            "telephone_number": "508-801-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W BOYLSTON ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832373",
            "telephone_number": "508-801-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOILARD",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

Verify at the official NPI Registry.