DEIDRA BOYKEN (NPI# 1932598257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932598257 |
| Entity Type | Individual |
| Full Name | DEIDRA BOYKEN |
| Credential | LPCC |
| Practice Address |
145 E. Center Street Suite 1d Madisonville KY 42431 |
| Mailing Address |
939 Wilbur James Road Manitou KY 42436 |
| Practice Telephone | 2708218884 |
| Mailing Telephone | 2703395653 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCPCC00216426 | KY | Behavioral Health & Social Service Providers |
| Street Address |
145 E. CENTER STREET SUITE 1D |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| 1124385257 | Ardith Elaine O'rourke | Nurse Practitioner | 57 J.e. Ellis Road, Madisonville, KY 42431 | 2012-04-13 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013250489 | Stephanie Faith Brewster | Counselor | 1079 Thornberry Dr, Suite D, Madisonville, KY 42431-1600 | 2013-04-03 |
| 1376898957 | Brooke Renee Capdeboscq | Counselor | 111 Raiford Oaks Blvd, Madisonville, LA 70447-9571 | 2012-07-19 |
| 1659452654 | Kelly Elizabeth Morgan | Counselor | 813 South State Street, Ste. 100, Madisonville, TX 77864 | 2006-10-17 |
| 1730714460 | Jodie R. Ellsworth | Counselor | 510 Ruby Dr, Madisonville, KY 42431-2168 | 2020-03-03 |
| 1750800256 | Owensboro Health Medical Group, Inc. | Counselor | 510 Ruby Dr, Madisonville, KY 42431-2168 | 2017-09-15 |
| 1285172817 | Lesia Thomas | Counselor | 1079 Thornberry Dr, Suite 203, Madisonville, KY 42431-1600 | 2017-02-02 |
| 1144685579 | Shellie Gary-cheirs | Counselor | 108 South Main Street, Suite 104, Madisonville, KY 42431 | 2015-12-30 |
| 1841679115 | Kole Metz | Counselor | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2015-05-20 |
| 1225427362 | Tammy Pellegrini | Counselor | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2015-01-13 |
| 1275951121 | Susan Reid | Counselor | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2014-03-28 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on DEIDRA BOYKEN.
| 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.