Martha Elizabeth Boenau, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP6572 Issued in MD

Practice address

319 W Patrick St
Frederick, MD 21701-4855

Phone

(240) 888-9642

NPI assigned

Aug 6, 2020

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

Opted out of Medicare

Yes, effective Apr 14, 2025 through Apr 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Inner-Evolution Counseling, Coaching and Yoga LLC

  • Professional Counselor
  • Frederick, MD
  • NPI 1730695792
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1982214698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014855",
            "telephone_number": "240-888-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014855",
            "telephone_number": "240-888-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENAU",
        "first_name": "MARTHA",
        "middle_name": "ELIZABETH",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP6572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith C Blum, OTRL
• Valerie Boards-Buchanan
• Darren Boas, PMHNP-BC
• Bobbi Mead Acupuncture LLC
• Andrew Joseph Bodine, LCPC
• Elizabeth Bohan, LCPC
• Praveen K Bolarum, M.D.
• Melissa Ramey Bolden, CRNP
• Robyn Ann Bolduc, M.S.
• Victoria E. Bolton, LCSW-C

• Mental Health Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.