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John Gordon Boyle, MA

Counselor, Mental Health in Columbia, MD. Individual provider (NPI-1).

NPI number1265212948
StatusActive
Last updated in NPPESJan 23, 2025

Details

NPI
1265212948
Entity type
Individual (NPI-1)
Name
Mr. John Gordon Boyle
Credential
MA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 2, 2023
Certification date
Jan 23, 2025
Last updated
Jan 23, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLGP15578MDYes

Practice location

11604 Lakewater Ln
Columbia, MD 21044-4355

Phone 410-739-2511

Mailing address

11604 Lakewater Ln
Columbia, MD 21044-4355

Phone 410-739-2511

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Columbia, MD

All 214 Mental Health Counselor providers in Columbia · All 8,557 providers in Columbia

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