MR. SAMUEL CALEB BOSHELL MS, MFTA
NPI 1831884675
Counselor - Mental Health in Montgomery, AL

Active since April 07, 2023
545 ROARK TRCE, MONTGOMERY, AL 36116(205) 706-2905 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Samuel Caleb Boshell Ms, Mfta NPPES

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

MR. SAMUEL CALEB BOSHELL MS, MFTA (NPI 1831884675) is an individual mental health provider in Montgomery, Alabama, licensed in Alabama (A221) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1831884675
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SAMUEL CALEB BOSHELLCredential: MS, MFTA
Location Address545 ROARK TRCEMontgomery, AL 36116-6328
Mailing Address120 Brookslanding DrHuntsville, AL 35811-8699 · (256) 945-0879
Sole ProprietorNo
Enumeration DateApril 7, 2023
NPPES CertifiedApril 3, 2023
NPI 1831884675 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 AL · A221
545 ROARK TRCE, Montgomery, AL 36116

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Samuel Caleb Boshell Ms, Mfta has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2024 through February 12, 2026.

Opt-Out Effective DateFebruary 12, 2024
Opt-Out In Effect ThroughFebruary 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831884675, enumerated as an "individual" on April 07, 2023.

The provider is located at 545 ROARK TRCE MONTGOMERY, AL 36116 and the phone number is (205) 706-2905.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.