Jaclyn Boileau

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1515 Market St
Philadelphia, PA 19102-1921

Phone

(484) 496-4694

NPI assigned

Sep 2, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1972412401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021921",
            "telephone_number": "484-496-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021921",
            "telephone_number": "484-496-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOILEAU",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flannery Bohne, PMHNP
• Martin Robert Bohnenkamp, MD
• Audrey Emery Bohr, MSS
• Margaret Catherine Bohr, MD
• Alexis C Boice, PA-C
• Jenine Elaine Boileau, M.D.
• Aravind Boinpally
• Brian Christopher Boisvert, PHARM.D.
• Matthew Richard Boisvert, MD
• Patricia A Boken, MD

• All providers in Philadelphia, PA
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.