Stephanie Boley

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

610 Marshall St
Milford, DE 19963-2308

Phone

(302) 359-3734

NPI assigned

Apr 7, 2020

Sex

Female

Sole proprietor

No

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.

• State of Mind Counseling Services, LLC

  • Mental Health Counselor
  • Milford, DE
  • NPI 1275260952

  Counselor, DE

  Medicare reassignment Care Compare group NPD

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

State of Mind Counseling Services, LLC 13 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2023.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1801425129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MARSHALL ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632308",
            "telephone_number": "302-359-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MARSHALL ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632308",
            "telephone_number": "302-359-3734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 High St",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201326",
            "country_code": "US",
            "telephone_number": "443-282-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29520 Canvasback Dr",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216017124",
            "country_code": "US",
            "telephone_number": "410-651-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLEY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Blitzer, DDS
• Blue Moon Therapy & Consulting
• Gloria A Boardman, MSN RN APN
• Sarah Boddie
• Mark Bodin, P.T.
• Raymond A Bologna, M.D.
• Olivia Boone, MS, OTR
• Michelle Bortner
• Tracy L Bradshaw, PTA
• Jessica Brandt, PA-C

• All providers in Milford, DE
• Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.