KYLE BOASE LPC
NPI 1780269357
Counselor - Mental Health in Grand Rapids, MI

Active since March 15, 2021PECOS EnrolledAccepts Medicare Assignment
6963 MARSHALL AVE SE, GRAND RAPIDS, MI 49508(616) 207-4655 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Boase Lpc NPPES

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

KYLE BOASE LPC (NPI 1780269357) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6401018677) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780269357
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYLE BOASECredential: LPC
Location Address6963 MARSHALL AVE SEGrand Rapids, MI 49508-7438
Mailing Address6963 Marshall Ave SeGrand Rapids, MI 49508-7438
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
NPI 1780269357 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 MI · 6401018677
6963 MARSHALL AVE SE, Grand Rapids, MI 49508

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle Boase 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 ID7517495310
PECOS Enrollment IDI20250107003125
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.

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 Kyle Boase's NPI number?

The NPI number for Kyle Boase is 1780269357. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Where is Kyle Boase located?

Kyle Boase practices at 6963 Marshall Ave SE, Grand Rapids, MI 49508. The listed phone number is (616) 207-4655.

What is Kyle Boase's specialty?

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

Is Kyle Boase enrolled in Medicare?

Yes. Kyle Boase 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.

What insurance does Kyle Boase accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Kyle Boase as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Boase was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.