Individual provider Active NPI

Megan Leigh Boedecker, LMHC

  • Mental Health Counselor
  • Lakewood Ranch, FL
National Provider Identifier
1700396348
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20396 Issued in FL
Practice address
9015 Town Center Pkwy Unit 106
Lakewood Ranch, FL 34202-5012
Phone
(321) 279-0690
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 MH20396 FL Primary

Addresses

Primary practice location

9015 Town Center Pkwy Unit 106
Lakewood Ranch, FL 34202-5012

Mailing address

9015 Town Center Pkwy Unit 106
Lakewood Ranch, FL 34202-5012
Phone (321) 279-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2025 through Jan 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH20396FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Boedecker Counseling Services Inc. Mental Health Current Accepting new patients
Envision Counseling Services Mental Health PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 2

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1700396348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 106",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025012",
            "telephone_number": "321-279-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 106",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025012",
            "telephone_number": "321-279-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDECKER",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.