Active NPI
Sandra Lynne Boyle, MS, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1831249804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC #C1248
- Practice address
- 3415 SE Powell Blvd
Portland, OR 97202-3371 - Phone
- (503) 869-2430
- Fax
- (503) 233-0187
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC #C1248 | OR | Primary |
Addresses
Primary practice location
3415 SE Powell Blvd
Portland, OR 97202-3371
Mailing address
3719 SW Hood Ave
Portland, OR 97239-4309
Phone (503) 869-2430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC #C1248 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1831249804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 SW HOOD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394309",
"telephone_number": "503-869-2430",
"fax_number": "503-233-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023371",
"telephone_number": "503-869-2430",
"fax_number": "503-233-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "SANDRA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "LPC #C1248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.