Diana Marie Boyd, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009268 Issued in MI

Practice address

114 S Center Ave
Suite 105
Gaylord, MI 49735-1391

Phone

(989) 731-6800

Fax

(989) 731-6818

NPI assigned

Jan 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1770769572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S CENTER AVE",
            "address_2": "SUITE 105",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351391",
            "telephone_number": "989-731-6800",
            "fax_number": "989-731-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S CENTER AVE",
            "address_2": "SUITE 105",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351391",
            "telephone_number": "989-731-6800",
            "fax_number": "989-731-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher David Blanchet
• Jordan Christine Blatt
• Kristine E. Bobish, D.O.
• Alexandria Bowen
• Dirk William Bowman, M.D.
• Boyne Country Urgent Care P.C. (Up North Medical Centers)
• Michele Marie Bozzer, RPH
• Catherine Bragg, MSPT
• Michelle Renee Branda
• Liza Brandt

• Professional Counselor in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.