Individual provider Active NPI

Angela M Boyd, MA, LPC NCC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1740746643
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1731 Issued in AZ
Practice address
2451 E Baseline Rd Ste 430
Gilbert, AZ 85234-2473
Phone
(602) 313-4391
Fax
(480) 699-4427
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-1731 AZ Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 430
Gilbert, AZ 85234-2473

Mailing address

2451 E Baseline Rd Ste 430
Gilbert, AZ 85234-2473
Phone (602) 313-4391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201004647 AZ Practitioner - Mental Health Counselor 9234582560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleanslate Medical Group of Arizona PLLCGroup PAC ID 6901183235, 6 clinicians

Practice addresses (Care Compare)

2451 E Baseline Rd
Suite 430
Gilbert, AZ 85234-2473
Phone (602) 313-4391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-1731AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Arizona PLLC CurrentSince Jan 1, 2024 Accepting new patients
Cleanslate Medical Group of Arizona PLLC Current Accepting new patients
Total Wellness Centers, LLC Past Accepting new patients
Cleanslate Medical Group of Arizona PLLC Past Accepting new patients

Locations

2451 E Baseline Rd
Ste 430
Gilbert, AZ 85234
Phone (602) 313-4391

15255 N 40th St
Ste 135
Phoenix, AZ 85032
Phone (480) 417-4215

8410 W Thomas Rd
Ste 124
Phoenix, AZ 85037
Phone (480) 417-5289

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Organizations & group practices 4

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1740746643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 430",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342473",
            "telephone_number": "602-313-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 430",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342473",
            "telephone_number": "602-313-4391",
            "fax_number": "480-699-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA, LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.