Samuel Caleb Boshell, MS, MFTA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A221 Issued in AL

Practice address

545 Roark Trce
Montgomery, AL 36116-6328

Phone

(205) 706-2905

NPI assigned

Apr 7, 2023

Last updated

Apr 7, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 12, 2024 through Feb 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Huntsville Professional Counseling, LLC

  • Marriage & Family Therapist
  • Huntsville, AL
  • NPI 1396367991
  NPD

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1831884675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROOKSLANDING DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358118699",
            "telephone_number": "256-945-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ROARK TRCE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166328",
            "telephone_number": "205-706-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHELL",
        "first_name": "SAMUEL",
        "middle_name": "CALEB",
        "name_prefix": "Mr.",
        "credential": "MS, MFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "A221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J. Bordlee, D.O.
• Gregory Borg, M.D.
• Born Again Counseling
• Thomas Ernest Borton III, PH.D.
• Alexa Parker Boshell, M.S. CCC-SLP
• Aryn Elizabeth Boswell, CRNP
• Catherine Michelle Boswell, DPT
• Duncan Scott Boswell
• Kwoneathia Boswell, PH.D.
• Derick Deante Bothwell, DPT, ATC

• Mental Health Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.