Lucas Robert Boff, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Whitehall, OH
NPI 1891613014 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1891613014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- LE-00064110 (OH)
- Practice address
- 3616 E Main St
Whitehall, OH 43213-2913 - Phone
- (888) 586-7168
- NPI assigned
- Jul 7, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | LE-00064110 | OH | Yes |
Addresses
Primary practice location
3616 E Main St
Whitehall, OH 43213-2913
Mailing address
7530 Dusty Pines Dr
Galena, OH 43021-9700
Phone (419) 304-8482
Other providers in Whitehall, OH
- Black Jack Staffing
- Amanda Black
- Kyle Black
- Deviair Blackwell
- Amy Jo Boeing
- Shantel Desiree Bonner
- Shatauna Boone
- Nina Borghese
- Patrick Bortz
- Ebram Botros
All providers in Whitehall, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.