MR. DAVID JEFFERSON BOSTON (NPI# 1871726539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871726539 |
| Entity Type | Individual |
| Full Name | MR. DAVID JEFFERSON BOSTON |
| Credential | LPCC |
| Practice Address |
1201 3rd St Nw Albuquerque NM 87102-1403 |
| Practice Telephone | 5052424399 |
| Mailing Telephone | 5052424399 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0184621 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | B9311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727490 | David Michael Boston | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2017-08-25 |
| 1083907463 | David Antuane Boston | Physician Assistant | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2011-05-18 |
| 1871542001 | David R Boston | Internal Medicine | 400 Ne Mother Joseph Pl, Sw Washington Medical Center, Vancouver, WA 98664 | 2006-05-06 |
| Street Address |
1201 3RD ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902918055 | Hopeworks | Clinic/Center | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2006-08-31 |
| 1629675632 | Charlene Analla | Social Worker | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2020-10-02 |
| 1295341386 | Jasmine Bundick | Behavior Technician | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2020-09-23 |
| 1508483157 | Juniper Lecount | Case Manager/Care Coordinator | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2020-06-30 |
| 1033734538 | Steven Lee Deanda | Case Manager/Care Coordinator | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2020-06-10 |
| 1497370902 | Anna Sindelar Jenkins | Case Manager/Care Coordinator | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2020-06-10 |
| 1093349425 | Michael John Zocholl | Case Manager/Care Coordinator | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2020-02-25 |
| 1417580259 | Chris Blystone | Case Manager/Care Coordinator | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2020-02-20 |
| 1376188854 | James Harrison | Case Manager/Care Coordinator | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2019-11-08 |
| 1417590068 | Eric Walters | Case Manager/Care Coordinator | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2019-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1073172854 | Katherine Bassiri, LLC. | Counselor | 5300 Sequoia Rd Nw Ste 207, Albuquerque, NM 87120-1248 | 2019-06-06 |
| 1922576149 | Jacqueline Castille | Counselor | 4004 Carlisle Blvd Ne Ste C-3, Albuquerque, NM 87107-4565 | 2018-11-06 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1801395389 | Emily J Cano | Counselor | 2601 Wyoming Blvd Ne Ste 101, Albuquerque, NM 87112-1000 | 2018-02-09 |
| 1124533153 | Joy E Davis | Counselor | 8403 Constitution Ave Ne # 87110, Albuquerque, NM 87110-7614 | 2017-12-13 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1205369089 | Jonathan Juerling | Counselor | 5204 Vicksburg Dr Nw, Albuquerque, NM 87120-4501 | 2017-04-07 |
| 1467902098 | Jeffrey Holland | Counselor | 5421 Summer Ave Ne, Albuquerque, NM 87110-6435 | 2016-10-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.