Individual provider Active NPI

Heather Boise, LMHC

  • Mental Health Counselor
  • Brownsburg, IN
National Provider Identifier
1972171510
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8000969A Issued in IN
Practice address
4695 E Northfield Dr
Brownsburg, IN 46112-1784
Phone
(317) 520-4748
Fax
(888) 498-5529
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8000969A IN Primary

Addresses

Primary practice location

4695 E Northfield Dr
Brownsburg, IN 46112-1784

Mailing address

138 Capitol Dr Apt a
Avon, IN 46123-4541
Phone (219) 869-4196

Other practice location 1

3850 Whitestown Pkwy
Lebanon, IN 46052-7601
Phone (317) 520-4748

Other practice location 2

2303 Phil Ward Blvd
Crawfordsville, IN 47933-4607
Phone (317) 520-4748

Other practice location 3

1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748

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

LicenseStateTypeSpecialty
8000969AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K1DS Count Therapy, LLC PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1972171510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CAPITOL DR APT A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461234541",
            "telephone_number": "219-869-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 E NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121784",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Whitestown Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460527601",
            "country_code": "US",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2303 Phil Ward Blvd",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479334607",
            "country_code": "US",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1353 E Main St",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461121433",
            "country_code": "US",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOISE",
        "first_name": "HEATHER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "8000969A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.