Samyra Addison Boney
Counselor, Mental Health in Clermont, FL. Individual provider (NPI-1).
NPI number1669509121
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1669509121
- Entity type
- Individual (NPI-1)
- Name
- Samyra Addison Boney
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2007
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
715 Almond StClermont, FL 34711-3121
Phone 352-241-4187 · Fax 352-241-4684
Mailing address
715 Almond St Ste AClermont, FL 34711-3121
Phone 352-241-4187 · Fax 352-241-4684
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.
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