MARTHA ELIZABETH BOENAU LGPC
NPI 1982214698
Counselor - Mental Health in Frederick, MD

Q: What is Martha Boenau's NPI number?

The NPI number for Martha Boenau is 1982214698. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Q: What is Martha Boenau's specialty?

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

Q: Is Martha Boenau enrolled in Medicare?

No. Martha Boenau has opted out of Medicare through April 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Martha Boenau was last updated on August 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 06, 2020Opted out of Medicare · through Apr 14, 2027

319 W PATRICK ST, FREDERICK, MD 21701(240) 888-9642 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Martha Elizabeth Boenau Lgpc NPPES

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

MARTHA ELIZABETH BOENAU LGPC (NPI 1982214698) is an individual mental health provider in Frederick, Maryland, licensed in Maryland (LGP6572) and active in the NPI registry since August 2020. She has opted out of Medicare through April 14, 2027.

NPPES Registry Identity

NPI1982214698

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARTHA ELIZABETH BOENAUCredential: LGPC

Location Address319 W PATRICK STFrederick, MD 21701-4855

Mailing Address319 W Patrick StFrederick, MD 21701-4855 · (240) 888-9642

Phone(240) 888-9642

Sole ProprietorNo

Enumeration DateAugust 6, 2020

NPPES CertifiedAugust 6, 2020

✔ NPI 1982214698 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 MD · LGP6572

319 W PATRICK ST, Frederick, MD 21701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Martha Elizabeth Boenau Lgpc 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 April 14, 2025 through April 14, 2027.

Opt-Out Effective DateApril 14, 2025

Opt-Out In Effect ThroughApril 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MARYLAND CENTER FOR GENDER & INTIMACY

Clinic/Center (Mental Health (Including Community Mental Health Center))