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COLIN BOYLAN M.A., LPCC
NPI 1124204086
Counselor - Professional in Alameda, CA

Active since January 10, 2008PECOS EnrolledAccepts Medicare Assignment
1242 PARK ST, SUITE C, ALAMEDA, CA 94501(510) 521-3500(510) 521-8253 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2022, Mar 21, 2017, Mar 17, 2017 and 1 more (4 updates tracked since 2017).

About Colin Boylan M.a., Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLIN BOYLAN M.A., LPCC (NPI 1124204086) is an individual professional provider in Alameda, California, licensed in California (3802) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1124204086
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCOLIN BOYLANCredential: M.A., LPCC
Location Address1242 PARK ST, SUITE CAlameda, CA 94501-5500
Mailing Address2016 Alameda AveAlameda, CA 94501-4209 · (215) 605-8231
Phone(510) 521-3500
Fax(510) 521-8253
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 10, 2008
Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration
✔ NPI 1124204086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 3802
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC005459 (PA), 2830 (CA)
1242 PARK ST, Alameda, CA 94501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colin Boylan M.a., Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678919198
PECOS Enrollment IDI20240307000075
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Colin Boylan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TARYN LIVINGSTON PROPERSI LCSW
Social Worker
1242 PARK ST, SUITE C
ALAMEDA, CA 94501
Alameda County (510) 521-3500
MRS. LOLA CHRISTINE HOLMES MFT
Marriage & Family Therapist
1242 PARK ST, SUITE C
ALAMEDA, CA 94501
Alameda County (510) 644-4219
CALIFORNIA COUNSELING ASSOCIATES A LPCC
Psychologist (Clinical)
1242 PARK ST, SUITE C
ALAMEDA, CA 94501
Alameda County (510) 521-3500
TERRA MORAIS PSYD
Psychologist
1242 PARK ST, SUITE C
ALAMEDA, CA 94501
Alameda County (510) 644-4206
MS. ANN SURTSHIN WLAD MFT
Marriage & Family Therapist
1242 PARK ST, SUITE C
ALAMEDA, CA 94501
Alameda County (510) 644-4215
DR. SCOTT PERNA PSY.D.
Psychologist (Clinical)
1242 PARK ST, SUITE C
ALAMEDA, CA 94501
Alameda County (510) 644-4225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colin Boylan's NPI number?

The NPI number for Colin Boylan is 1124204086. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Colin Boylan located?

Colin Boylan practices at 1242 Park St Suite C, Alameda, CA 94501. The listed phone number is (510) 521-3500.

What is Colin Boylan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Colin Boylan enrolled in Medicare?

Yes. Colin Boylan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Colin Boylan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colin Boylan reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colin Boylan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colin Boylan was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.