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MARY BOYETTE
NPI 1417742560
Counselor - Mental Health in Lynchburg, VA

Active since April 10, 2025PECOS EnrolledAccepts Medicare Assignment
1621 ENTERPRISE DR, LYNCHBURG, VA 24502(276) 237-4554 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Boyette NPPES

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

MARY BOYETTE (NPI 1417742560) is an individual mental health provider in Lynchburg, Virginia, licensed in Virginia (0717002389) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lynchburg, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417742560
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY BOYETTE
Location Address1621 ENTERPRISE DRLynchburg, VA 24502-5797
Mailing Address1621 Enterprise DrLynchburg, VA 24502-5797
Phone(276) 237-4554
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1417742560 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 · 0717002389
1621 ENTERPRISE DR, Lynchburg, VA 24502
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Secondary Practice Location 1

Location 1105 Cornerstone St Apt 103Lynchburg, VA 24502-5447 · Phone (276) 237-4554

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

Mary Boyette 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 ID1153846480
PECOS Enrollment IDI20250421000215
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 Mary Boyette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Patrick Henry Family Services Operations
Same address
Mental Health
1621 ENTERPRISE DR
Lynchburg, VA 24502
  • Reassigned Medicare billing, Virginia enrollment
  • 11 clinicians in this Medicare group
NPI 1033724216 (434) 376-2006

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.

MARTHA LEE CASHEL
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
PATRICK HENRY FAMILY SERVICES OPERATIONS
Counselor (Mental Health)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
CHELE J WEIGLEIN LPC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
MICHAELA MOREL LPC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
AMANDA DAWN CLARK
Counselor (Mental Health)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
MRS. JENNIFER LEIGH OWEN LPC, NCC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4949
AVERY VIA LPC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006

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 Mary Boyette's NPI number?

The NPI number for Mary Boyette is 1417742560. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Mary Boyette located?

Mary Boyette practices at 1621 Enterprise Dr, Lynchburg, VA 24502. The listed phone number is (276) 237-4554.

What is Mary Boyette's specialty?

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

Is Mary Boyette enrolled in Medicare?

Yes. Mary Boyette 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 Mary Boyette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boyette reassigns Medicare benefits to Patrick Henry Family Services Operations (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 Mary Boyette'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 Mary Boyette was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.