MS. TARA JEAN BOERNER (NPI# 1477814911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477814911 |
| Entity Type | Individual |
| Full Name | MS. TARA JEAN BOERNER |
| Other Name | MRS. TARA JEAN GUSSIN |
| Credential | LMFT |
| Practice Address |
19720 Ventura Blvd Ste C Woodland Hills CA 91364 |
| Mailing Address |
19720 Ventura Blvd Ste C Woodland Hills CA 91364-2676 |
| Practice Telephone | 8182618286 |
| Practice Fax Number | 8189638727 |
| Mailing Telephone | 8182618286 |
| Mailing Fax Number | 8189638727 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT45305 | CA | Behavioral Health & Social Service Providers |
| Street Address |
19720 VENTURA BLVD STE C |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255494647 | Kameron Kristen Moody | Counselor | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364 | 2006-12-18 |
| 1619530466 | Rita Funk | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2019-04-17 |
| 1851859383 | Stephanie Moriah Mason | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2019-03-04 |
| 1821591660 | Brandy Reid | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2018-03-16 |
| 1972014058 | Marcy B Polsky | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2017-10-17 |
| 1073033239 | Abby Krom | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2017-06-20 |
| 1356878177 | Elise Guthmann | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2017-05-11 |
| 1871956656 | Socal Therapy Center, Inc. | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2016-03-30 |
| 1730556986 | So Cal Child Therapy | Community/Behavioral Health | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2015-08-24 |
| 1093055048 | Shira Ann Makler | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2013-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| Find all providers in zip 91364 | ||||
| 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 |
|---|---|---|---|---|
| 1801400692 | Cameron Klein | Marriage & Family Therapist | 22055 Oxnard St, Woodland Hills, CA 91367-3546 | 2020-08-31 |
| 1053923326 | Katherine Valentine | Marriage & Family Therapist | 5550 Topanga Canyon Blvd, Woodland Hills, CA 91367-6478 | 2020-08-18 |
| 1922644889 | Steven Galipeau | Marriage & Family Therapist | 20301 Ventura Blvd Ste 214, Woodland Hills, CA 91364-0932 | 2019-11-25 |
| 1083263479 | Carolyn Jordan | Marriage & Family Therapist | 23700 Crosson Dr, Woodland Hills, CA 91367-4069 | 2019-09-09 |
| 1649830456 | Paige Chase | Marriage & Family Therapist | 21241 Ventura Blvd Ste 279, Woodland Hills, CA 91364-2156 | 2019-06-14 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1336628700 | Anabelle Ochoa | Marriage & Family Therapist | 20501 Ventura Blvd Ste 120, Woodland Hills, CA 91364-6292 | 2018-08-07 |
| 1326532466 | Jacqueline Simone Caputo | Marriage & Family Therapist | 20501 Ventura Blvd Ste 342, Woodland Hills, CA 91364-6428 | 2018-06-21 |
| 1205320900 | Stephanie Singer | Marriage & Family Therapist | 23123 Ventura Blvd Ste 203, Woodland Hills, CA 91364-1172 | 2018-06-18 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
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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.