Organization Active NPI

Bruce J. Boswell, LPC, PC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1851953590
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRUCE J. BOSWELL, LPC, PC
Practice address
4925 Everhart Rd Ste 103
Corpus Christi, TX 78411-3912
Phone
(361) 806-2600
Fax
(361) 806-2624
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Bruce J Boswell, LPCNPI 1255416574
Title
Owner
Phone
(361) 806-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4925 Everhart Rd Ste 103
Corpus Christi, TX 78411-3912

Mailing address

PO Box 271416
Corpus Christi, TX 78427-1416
Phone (361) 806-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213002145 TX Part B Supplier - Clinic/Group Practice 0042653404 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

4925 Everhart Rd
Ste 103
Corpus Christi, TX 78411
Phone (361) 806-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1851953590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271416",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271416",
            "telephone_number": "361-806-2600",
            "fax_number": "361-806-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 EVERHART RD STE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113912",
            "telephone_number": "361-806-2600",
            "fax_number": "361-806-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE J. BOSWELL, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-806-2600",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.