MRS. JACLYN NICOLE BOYKIN LPC
NPI 1255962403
Counselor - Mental Health in Richmond, VA

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
5403 JEFFERSON ST, RICHMOND, VA 23223(804) 204-9255 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2020, Jan 27, 2020 (2 updates tracked since 2020).

About Mrs. Jaclyn Nicole Boykin Lpc NPPES

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

MRS. JACLYN NICOLE BOYKIN LPC (NPI 1255962403) is an individual mental health provider in Richmond, Virginia, licensed in Virginia (0701009581) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Chesterfield, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255962403
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JACLYN NICOLE BOYKINCredential: LPC
Location Address5403 JEFFERSON STRichmond, VA 23223-6007
Mailing Address5403 Jefferson StRichmond, VA 23223-6007 · (804) 204-9255
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 27, 2020
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1255962403 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 VA · 0701009581
5403 JEFFERSON ST, Richmond, VA 23223

Secondary Practice Location 1

Location 18310 Midlothian TpkeNorth Chesterfield, VA 23235-5163 · Phone (804) 447-6382 · Fax (804) 447-6383

Other Identifiers 1

Other0701009581VA · Department Of Health Professions

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

Mrs. Jaclyn Nicole Boykin Lpc 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 ID2466802848
PECOS Enrollment IDI20231227002084
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 Jaclyn Boykin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Virginia enrollment
  • 302 clinicians in this Medicare group

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

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

Community/Behavioral Health
5403 JEFFERSON ST
RICHMOND, VA 23223

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 Jaclyn Boykin's NPI number?

The NPI number for Jaclyn Boykin is 1255962403. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Jaclyn Boykin located?

Jaclyn Boykin practices at 5403 Jefferson St, Richmond, VA 23223. The listed phone number is (804) 204-9255.

What is Jaclyn Boykin's specialty?

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

Is Jaclyn Boykin enrolled in Medicare?

Yes. Jaclyn Boykin 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 Jaclyn Boykin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Boykin reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Jaclyn Boykin'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 Jaclyn Boykin was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.