MEDICARE: JOSEPH PATRICK BOYLE M.ED., LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor	21262	CA

General Provider Information

NPI Number	:	1942822150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH PATRICK BOYLE M.ED., LPCC

Provider Business Mailing Address
First Line	:	2574 20TH ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-2460
Country	:	US
Telephone Number	:	440-525-4411
Fax Number	:

Provider Business Practice Location Address
First Line	:	924 57TH ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3328
Country	:	US
Telephone Number	:	916-287-8876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	03/27/2026

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