Organization Active NPI

Boylan Counseling LLC

  • Community/Behavioral Health Agency
  • Missoula, MT
National Provider Identifier
1861145245
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOYLAN COUNSELING LLC
Practice address
690 SW Higgins Ave Ste B
Missoula, MT 59803-1433
Phone
(406) 239-7731
Fax
(406) 728-5661
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Dana Allison Boylan, LCSW LACNPI 1033447701
Title
Private Practice Mental Health
Phone
(406) 239-7731

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

690 SW Higgins Ave Ste B
Missoula, MT 59803-1433

Mailing address

8423 Wise River Rd
Missoula, MT 59803-9637
Phone (140) 623-9773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412001930 MT Part B Supplier - Clinic/Group Practice 2466848858 Receives reassigned benefits from 2 practitioners
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1861145245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 WISE RIVER RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598039637",
            "telephone_number": "140-623-9773",
            "fax_number": "406-728-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SW HIGGINS AVE STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031433",
            "telephone_number": "406-239-7731",
            "fax_number": "406-728-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRIVATE PRACTICE MENTAL HEALTH",
        "authorized_official_telephone_number": "406-239-7731",
        "authorized_official_credential": "LCSW LAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.