Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tina Marie Ottman-Boykin, MSELCSWLPCNCC

Individual provider Professional Counselor · NPI 1760595300

Mrs. Tina Marie Ottman-Boykin, MSELCSWLPCNCC is a Clinical Social Worker in Plymouth, Wisconsin. Qualified in 1989, 37 years ago. Practices with Life Point Counseling LLC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
37
Licensed in
WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2209 Eastern Ave
Plymouth, WI 53073-4281
Phone: (920) 892-7606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 N Wisconsin St, Port Washington, WI 53074-1285 — (920) 892-7606
  • 805 N 6th St, Sheboygan, WI 53081-4113 — (920) 457-8866

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2886123 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 1568125 (WI)

Record details

NPI number1760595300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSELCSWLPCNCC
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Life Point Counseling Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth