CORINNE BOULGER (NPI# 1801453410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801453410 |
| Entity Type | Individual |
| Full Name | CORINNE BOULGER |
| Practice Address |
617 Bayonet Cir Marina CA 93933-4600 |
| Practice Telephone | 8313847251 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 104316 | CA | Behavioral Health & Social Service Providers |
| Street Address |
617 BAYONET CIR |
| City | MARINA |
| State | CA |
| Zip Code | 93933-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316184369 | David Ray Smith | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2009-01-13 |
| 1366059685 | Cynthia Merrie Lopez | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2020-09-30 |
| 1689293045 | Janet Baggett | Registered Nurse | 617 Bayonet Cir, Marina, CA 93933-4600 | 2020-04-15 |
| 1710527700 | Xochitl Guerrero | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2020-01-08 |
| 1932749009 | Marylou Hernandez | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2020-01-07 |
| 1861037939 | Lissette Gomez | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2019-11-13 |
| 1215578182 | David Petrini | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2019-10-02 |
| 1376194886 | Guadalupe Martinez | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2019-09-25 |
| 1124676069 | Karina Ramires | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2019-09-03 |
| 1386299014 | Shivani Prasanna Dongre | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2019-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1073897534 | Amy Elizabeth Adams | Marriage & Family Therapist | 3180 Imjin Rd Ste 149, Marina, CA 93933-5111 | 2011-10-03 |
| 1053545178 | Jasmin Jourdenais | Marriage & Family Therapist | 3100 De Forest Rd, 162, Marina, CA 93933-5300 | 2009-05-04 |
| 1508338526 | Lauren C Mcamis | Marriage & Family Therapist | 617 Bayonet Cir, Marina, CA 93933-4600 | 2019-01-02 |
| 1013382175 | Danell Gee | Marriage & Family Therapist | 299 12th St, Marina, CA 93933-6003 | 2015-12-01 |
| 1003232026 | Ena Catalina Rosa | Marriage & Family Therapist | 299 12th St, Marina, CA 93933-6003 | 2014-03-14 |
| 1528496536 | Momoko Takeda | Marriage & Family Therapist | 299 12th St, Marina, CA 93933-6003 | 2013-10-30 |
| 1992052732 | Wendy Ann Freitas-brown | Marriage & Family Therapist | 299 12th St, Suite A, Marina, CA 93933-6003 | 2012-08-10 |
| 1295957041 | Paulette Mary Hurst | Marriage & Family Therapist | 299 12th St Ste A, Marina, CA 93933-6003 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467291 | Jasmine Oganesyan | Marriage & Family Therapist | 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 | 2020-11-08 |
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
| 1639770761 | Renee Lopez-delfino | Marriage & Family Therapist | 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 | 2020-11-04 |
| 1346841558 | Jennifer Spiegel Aune | Marriage & Family Therapist | 810 College Ave Ste 1a, Kentfield, CA 94904-2565 | 2020-11-04 |
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.