Active NPI
Donald Anthony Boyle, LPC
- Professional Counselor
- Tyler, TX
National Provider Identifier
1700254919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70586
- Practice address
- 13359 Hwy 155 S
Tyler, TX 75703-6554 - Phone
- (903) 266-1030
- NPI assigned
- Sep 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70586 | TX | Primary |
Addresses
Primary practice location
13359 Hwy 155 S
Tyler, TX 75703-6554
Mailing address
13359 Hwy 155 S
Tyler, TX 75703-6554
Phone (903) 266-1030
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70586 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1700254919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13359 HWY 155 S",
"city": "TYLER",
"state": "TX",
"postal_code": "757036554",
"telephone_number": "903-266-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13359 HWY 155 S",
"city": "TYLER",
"state": "TX",
"postal_code": "757036554",
"telephone_number": "903-266-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "DONALD",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.