Timothy P Boyle, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC001429 Issued in PA

Practice address

1410 Russell Rd Ste 205
Paoli, PA 19301-1200

Phone

(610) 416-9444

Fax

(610) 407-4666

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552694400000",
    "number": "1730291865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 RUSSELL RD STE 205",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011200",
            "telephone_number": "610-416-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 RUSSELL RD STE 205",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011200",
            "telephone_number": "610-416-9444",
            "fax_number": "610-407-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2321719000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "476478000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Boucas-Neto
• Hailey Bourgeau Chang, PSYD
• Alexis Whitney Bove, LMFT
• Andrew Rael Bowman, MD
• Emily M Boylan
• Yousuf Bozai, DO
• Lisa Marie Bracken
• Melanie Bradley, MS
• Jessica Bramante, M.S. CCC-SLP
• Taylor Breidenbach

• Professional Counselor in Paoli, PA
• Providers in Paoli, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; 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.