Active NPI
Marguerite Boone
- Professional Counselor
- Louisville, KY
National Provider Identifier
1871116889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 261686
- Practice address
- 5115 S 3Rd St
Louisville, KY 40214-2601 - Phone
- (502) 233-3030
- Fax
- (502) 719-8161
- NPI assigned
- May 26, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 261686 | KY | Primary |
Addresses
Primary practice location
5115 S 3Rd St
Louisville, KY 40214-2601
Mailing address
5115 S 3Rd St
Louisville, KY 40214-2601
Phone (502) 233-3030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261686 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1871116889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402142601",
"telephone_number": "502-233-3030",
"fax_number": "502-719-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402142601",
"telephone_number": "502-233-3030",
"fax_number": "502-719-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "MARGUERITE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "261686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.