Organization Active NPI

Michael C Boyle PLLC

  • Mental Health Counselor
  • Rockwall, TX
National Provider Identifier
1871155101
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MICHAEL C BOYLE PLLC
Practice address
1101 Ridge Rd Ste 232
Rockwall, TX 75087-4250
Phone
(469) 769-1744
NPI assigned
Jul 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Michael BoyleNPI 1538383229
Title
LPC, Owner
Phone
(469) 769-1744

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1101 Ridge Rd Ste 232
Rockwall, TX 75087-4250

Mailing address

1196 T L Townsend Dr Apt 217
Rockwall, TX 75087-0889
Phone (469) 769-1744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240327001131 TX Part B Supplier - Clinic/Group Practice 8527405463 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX

National Provider Directory

National Provider Directory

Locations

1101 Ridge Rd
Ste 232
Rockwall, TX 75087
Phone (469) 769-1744

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": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1871155101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 T L TOWNSEND DR APT 217",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870889",
            "telephone_number": "469-769-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RIDGE RD STE 232",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874250",
            "telephone_number": "469-769-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C BOYLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LPC, OWNER",
        "authorized_official_telephone_number": "469-769-1744"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.