CARL EDWARD BOYENS (LCPC) – Professional Counselor, NPI 1336231547

CARL EDWARD BOYENS (LCPC) is a healthcare provider. based in Bradley, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. The NPI Number for CARL EDWARD BOYENS (LCPC) is 1336231547

Main info

Male
Sole Proprietor
23 Years Of Experience
Name
CARL EDWARD BOYENS (LCPC)
NPI
1336231547
Phone
(815) 933-0667
Address
224 N INDUSTRIAL DRIVE
Enumeration Date
28 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888701775
Graduation Year
2003 (23 years ago)
PAC ID
3476904954
Group Practice PAC ID
0749418630
Professional Enrollment ID
I20240312002462
Address ID
IL601692040HO2500XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for CARL EDWARD BOYENS (LCPC)

  • 224, North Industrial Drive, Bradley, Kankakee County, Illinois, 60915, United States

    BRADLEY, IL 60915

    Phone: (815) 933-0667

    Fax: (815) 933-0665

    Mailing address matches the actual address.

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: 2024-03-12

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
I20240312002462IMental Health CounselorILTBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 60915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749418630View full group profile
NameSpecialtyState
-IL
Marriage And Family TherapistWI
Clinical Social WorkerIL
Nurse PractitionerWI
Mental Health CounselorIA
Mental Health CounselorIL
-FL
Nurse PractitionerIL
Mental Health CounselorIA
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do I look up CARL EDWARD BOYENS (LCPC) by NPI?
Use NPI 1336231547 when you need to reference CARL EDWARD BOYENS (LCPC) in forms, claims, or directories.
Is CARL EDWARD BOYENS (LCPC) active in the national directory?
CARL EDWARD BOYENS (LCPC)'s public NPI profile is in an active state.
Does CARL EDWARD BOYENS (LCPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for CARL EDWARD BOYENS (LCPC). Clinical services aligned with this taxonomy classification.
Does CARL EDWARD BOYENS (LCPC) practice in Illinois?
You will see Bradley, Illinois on file for CARL EDWARD BOYENS (LCPC) alongside any extra practice locations.
How can I contact CARL EDWARD BOYENS (LCPC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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