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LUKE BOARDMAN
NPI 1245863364
Counselor - Mental Health in Baltimore, MD

Active since February 17, 2020PECOS Enrolled
2 HAMILL RD STE 332, BALTIMORE, MD 21210(443) 266-2270 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, May 25, 2021, Feb 17, 2020 (3 updates tracked since 2020).

About Luke Boardman NPPES

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

LUKE BOARDMAN (NPI 1245863364) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (LC10757) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245863364
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLUKE BOARDMAN
Location Address2 HAMILL RD STE 332Baltimore, MD 21210-1813
Mailing Address2 Hamill Rd Ste 332Baltimore, MD 21210-1813
Phone(443) 266-2270
Sole ProprietorNo
Enumeration DateFebruary 17, 2020
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1245863364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC10757
2 HAMILL RD STE 332, Baltimore, MD 21210
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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 (PECOS)

Luke Boardman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Luke Boardman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stone Soup Counseling, LLC
4.4 mi
Clinical
2 HAMILL RD, ST 332
Baltimore, MD 21210
  • Reassigned Medicare billing, Maryland enrollment
  • 14 clinicians in this Medicare group
NPI 1023636396 (443) 266-2270

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 7

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

SAVANNA ALTENOR
Social Worker (Clinical)
2 HAMILL RD STE 332
BALTIMORE, MD 21210
Baltimore City (443) 266-2270
MOLLY J. GRIEST MMT, LPMT, MT-BC
Music Therapist
2 HAMILL RD STE 332
BALTIMORE, MD 21210
Baltimore City (443) 676-8613
GRACE CARMICHAEL
Social Worker (Clinical)
2 HAMILL RD STE 332
BALTIMORE, MD 21210
Baltimore City (443) 266-2270
MATTHEW T LOTZ
Psychiatry & Neurology (Psychiatry)
2 HAMILL RD STE 332
BALTIMORE, MD 21210
Baltimore City (443) 377-1551
DONALD S GANN JR. LCSW-C
Social Worker (Clinical)
2 HAMILL RD STE 332
BALTIMORE, MD 21210
Baltimore City (443) 266-2270
MATTHEW LOTZ MD
Psychiatry & Neurology (Psychiatry)
2 HAMILL RD STE 332
BALTIMORE, MD 21210
Baltimore City (443) 377-1551
SUSANNA DENT LCSW-C
Social Worker (Clinical)
2 HAMILL RD STE 332
BALTIMORE, MD 21210
Baltimore City (443) 266-2270

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 Luke Boardman's NPI number?

The NPI number for Luke Boardman is 1245863364. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Luke Boardman located?

Luke Boardman practices at 2 Hamill Rd Ste 332, Baltimore, MD 21210. The listed phone number is (443) 266-2270.

What is Luke Boardman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Luke Boardman enrolled in Medicare?

Yes. Luke Boardman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luke Boardman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Boardman reassigns Medicare benefits to Stone Soup Counseling, LLC (Baltimore, MD). 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 Luke Boardman'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 Luke Boardman was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.