MRS. JACQUELINE M BOLES (NPI# 1942539838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942539838 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE M BOLES |
| Credential | LMFT |
| Practice Address |
1603 Medical Pkwy Ste 320 Cedar Park TX 78613-7904 |
| Practice Telephone | 5127656788 |
| Mailing Telephone | 5127656788 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 202770 | TX | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LMFT | 1942539838 | 01 |
| Street Address |
1603 MEDICAL PKWY STE 320 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-7904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346806114 | Resilient Mind Therapy | Clinic/Center | 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613-7904 | 2019-05-16 |
| 1568959658 | Transcend Counseling Pllc | Community/Behavioral Health | 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613-7904 | 2018-04-16 |
| 1750887758 | Whitney M Sutherland | Counselor | 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613-7904 | 2018-03-30 |
| 1851893853 | Achieve Connection Counseling | Marriage & Family Therapist | 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613-7904 | 2018-03-06 |
| 1417464330 | Andrea Marie Franks | Marriage & Family Therapist | 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613-7904 | 2017-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| 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 |
|---|---|---|---|---|
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1578011797 | Ray of Hope LLC | Marriage & Family Therapist | 11300 W Parmer Ln Apt 1611, Cedar Park, TX 78613-4827 | 2016-09-16 |
| 1811385578 | Carrie Elizabeth Austin | Marriage & Family Therapist | 930 S Bell Blvd Ste 201, Cedar Park, TX 78613-3974 | 2015-01-05 |
| 1104179233 | Pamela A Bermender | Marriage & Family Therapist | 2251 Bagdad Rd Ste 302, Cedar Park, TX 78613-6522 | 2012-10-26 |
| 1962700633 | Deissy Yasmin Rosenbaum | Marriage & Family Therapist | 345 Cypress Creek Rd Ste 102, Cedar Park, TX 78613-4484 | 2011-03-04 |
| 1861552697 | Diane L Pascoe | Marriage & Family Therapist | 1001 Cypress Creek Rd Ste 403, Cedar Park, Cedar Park, TX 78613-4470 | 2006-12-11 |
| 1255433058 | Shari E French | Marriage & Family Therapist | 3000 Polar Ln Ste 501, Cedar Park, TX 78613-3073 | 2006-09-02 |
| 1851893853 | Achieve Connection Counseling | Marriage & Family Therapist | 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613-7904 | 2018-03-06 |
| 1417464330 | Andrea Marie Franks | Marriage & Family Therapist | 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613-7904 | 2017-12-30 |
| 1861880288 | Fiona Hibbert | Marriage & Family Therapist | 930 S Bell Blvd, Cedar Park, TX 78613-3972 | 2015-01-07 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on MRS. JACQUELINE M BOLES.
| 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.