TINA LATHAN BOYER LCAS-A, LCMHCA
NPI 1669035267
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Q: What is Tina Boyer's NPI number?

The NPI number for Tina Boyer is 1669035267. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Tina Boyer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tina Boyer was last updated on February 14, 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.

Active since April 18, 2019PECOS Enrolled

5200 PARK RD STE 218B, CHARLOTTE, NC 28209(866) 700-1606(866) 338-5921 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, Feb 1, 2022, Sep 26, 2021 and 2 more (5 updates tracked since 2019).

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About Tina Lathan Boyer Lcas-a, Lcmhca NPPES

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

TINA LATHAN BOYER LCAS-A, LCMHCA (NPI 1669035267) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (20469) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669035267

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTINA LATHAN BOYERCredential: LCAS-A, LCMHCA

Location Address5200 PARK RD STE 218BCharlotte, NC 28209-3650

Mailing Address5200 Park Rd Ste 218bCharlotte, NC 28209-3650 · (866) 700-1606 · Fax (866) 338-5921

Phone(866) 700-1606

Fax(866) 338-5921

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 18, 2019

Last NPPES UpdateFebruary 14, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2022

✔ NPI 1669035267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · 20469

Also ListedCounselorTaxonomy 101Y00000X · License 20469 (NC)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A17068 (NC)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A17068 (NC)

5200 PARK RD STE 218B, Charlotte, NC 28209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Lathan Boyer Lcas-a, Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749761872

PECOS Enrollment IDI20260226000369

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.

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Other Providers at the Same Location NPPES 20

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

LINDSEY YVETTE DONATIEN LCMHC

Counselor (Professional)