Active NPI
Boylan Counseling LLC
- Community/Behavioral Health Agency
- Missoula, MT
National Provider Identifier
1861145245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Allison Boylan, LCSW LAC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Missoula, MT
- NPI 1033447701
-
- Professional Counselor
- Missoula, MT
- NPI 1508976028
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.