MRS. THERESA BOYD MS, LCPC
NPI 1821486044
Counselor - Mental Health in Carterville, IL

Q: What is Theresa Boyd's NPI number?

The NPI number for Theresa Boyd is 1821486044. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Q: What is Theresa Boyd's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Boyd was last updated on October 3, 2023. 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.

Active since December 23, 2014PECOS EnrolledAccepts Medicare Assignment

403 MUNICIPAL DR, CARTERVILLE, IL 62918(855) 608-3560(618) 956-9349 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2023, Nov 18, 2022, Feb 9, 2021 and 1 more (4 updates tracked since 2019).

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About Mrs. Theresa Boyd Ms, Lcpc NPPES

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

MRS. THERESA BOYD MS, LCPC (NPI 1821486044) is an individual mental health provider in Carterville, Illinois, licensed in Illinois (180.014826) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821486044

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. THERESA BOYDCredential: MS, LCPC

Location Address403 MUNICIPAL DRCarterville, IL 62918-2042

Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440

Phone(855) 608-3560

Fax(618) 956-9349

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 23, 2014

Last NPPES UpdateOctober 3, 20234 updates tracked since enumeration

NPPES CertifiedOctober 3, 2023

✔ NPI 1821486044 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 IL · 180.014826

403 MUNICIPAL DR, Carterville, IL 62918

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Mrs. Theresa Boyd Ms, Lcpc 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 ID3678923158

PECOS Enrollment IDI20231226000282

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.

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.

JODI BRADLEY ADN, RN

Registered Nurse