MARY BOYETTE – Mental Health Counselor, NPI 1417742560

MARY BOYETTE is a healthcare provider. based in Lynchburg, Virginia. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 0717002389 (VA). The NPI Number for MARY BOYETTE is 1417742560

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARY BOYETTE
NPI
1417742560
Phone
(276) 237-4554
Address
105 Cornerstone St Apt 103
Enumeration Date
10 April 2025
Last Update Date
10 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4343762006
Graduation Year
2022 (4 years ago)
PAC ID
1153846480
Group Practice PAC ID
6103231444
Professional Enrollment ID
I20250421000215
Address ID
VA245025797LY1621XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

100 MARRIAGE AND FAMILY THERAPIST in VA

Provider Addresses for MARY BOYETTE

  • 105 Cornerstone St Apt 103

    Lynchburg, VA 245025447

    Phone: (276) 237-4554

    Type: Location

  • 1621 ENTERPRISE DR

    LYNCHBURG, VA 245025797

    Phone:

    Type: Mailing

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: 2025-04-21

PECOS data refreshed: 2026-06-15

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
I20250421000215IMarriage And Family TherapistVATBD

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 24502)

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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: 6103231444View full group profile
NameSpecialtyState
Mental Health CounselorVA
Clinical Social WorkerFL
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Mental Health CounselorVA

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Frequently asked questions

Can I verify MARY BOYETTE with an NPI only?
You can start verification with NPI 1417742560 for MARY BOYETTE, then check state licensing separately.
Does the file indicate MARY BOYETTE is practicing under active NPI?
Directory data currently reports MARY BOYETTE as active.
What is MARY BOYETTE best known for clinically?
Directory data describes MARY BOYETTE with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is MARY BOYETTE based?
MARY BOYETTE is tied to Lynchburg, Virginia in the data we show; additional addresses may exist on the full record.
Why does MARY BOYETTE have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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