MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) – Professional Counselor, NPI 1366698722

MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) is a healthcare provider. based in Bloomfield, Connecticut. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials LPC/LADC/CHES. They hold a License No. 001186 (CT). The NPI Number for MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) is 1366698722

Main info

Male
Sole Proprietor
30 Years Of Experience
Name
MR. JOSEPH D. BOIVIN (LPC/LADC/CHES)
NPI
1366698722
Phone
(860) 731-5522
Address
693 BLOOMFIELD AVE
Enumeration Date
16 August 2008
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608715402
Graduation Year
1996 (30 years ago)
PAC ID
4082158019
Professional Enrollment ID
I20250331000436
Address ID
CT060293360EL16XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

586 CLINICAL PSYCHOLOGIST in CT

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Provider Addresses for MR. JOSEPH D. BOIVIN (LPC/LADC/CHES)

  • 693, Bloomfield Avenue, Bloomfield, Essex County, New Jersey, 07003, United States

    APPARTMENT 3

    BLOOMFIELD, CT 060022489

    Phone: (860) 731-5522

    Fax: (860) 731-5536

    Type: Location

  • 995, Day Hill Road, Windsor, Hartford County, Connecticut, 06095, United States

    WINDSOR, CT 060951722

    Phone: (860) 731-5522

    Fax: (860) 731-5536

    Type: Mailing

  • 16 MAIN ST

    ELLINGTON, CT 060293360

    Phone: (860) 871-5402

    Fax: (860) 871-5413

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250331000436IClinical PsychologistCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06002)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. JOSEPH D. BOIVIN (LPC/LADC/CHES)?
MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) — NPI 1366698722 — is the standard way to identify this listing.
Does the file indicate MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) is practicing under active NPI?
Directory data currently reports MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) as active.
What healthcare role does MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) hold?
Scheduling teams often label MR. JOSEPH D. BOIVIN (LPC/LADC/CHES) under Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JOSEPH D. BOIVIN (LPC/LADC/CHES)?
MR. JOSEPH D. BOIVIN (LPC/LADC/CHES)'s geographic hint is Bloomfield, Connecticut in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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