MS. BIANCA BOEGEL (NPI# 1780005405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780005405 |
| Entity Type | Individual |
| Full Name | MS. BIANCA BOEGEL |
| Practice Address |
299 12th St Marina CA 93933 |
| Mailing Address |
299 12th St Marina CA 93933-6003 |
| Practice Telephone | 8316477633 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 104799 | CA | Behavioral Health & Social Service Providers |
| Street Address |
299 12TH ST |
| City | MARINA |
| State | CA |
| Zip Code | 93933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558586909 | Interim, Incorporated | Community/Behavioral Health | 299 12th St, Section B, Marina, CA 93933-6003 | 2007-04-13 |
| 1245853704 | Megan Heath | Social Worker | 299 12th St, Marina, CA 93933-6003 | 2020-05-19 |
| 1366090342 | Megan Reily | Counselor | 299 12th St, Marina, CA 93933-6003 | 2019-09-03 |
| 1447732433 | Tyra Mrozinski | Counselor | 299 12th St, Marina, CA 93933-6003 | 2018-09-05 |
| 1821501131 | Jessica Baity | Counselor | 299 12th St, Marina, CA 93933 | 2017-11-08 |
| 1659801348 | Makena Volzing | Counselor | 299 12th St, Marina, CA 93933-6003 | 2017-06-14 |
| 1366973117 | Nora Smith | Case Manager/Care Coordinator | 299 12th St, Marina, CA 93933 | 2017-03-23 |
| 1124561386 | Jolene Carol Coe | Social Worker | 299 12th St, Marina, CA 93933-6003 | 2016-11-21 |
| 1760846893 | Monterey County Behavioral Health | Clinic/Center | 299 12th St, Marina, CA 93933-6003 | 2016-04-05 |
| 1073970802 | Danielle Grinkmeyer | Counselor | 299 12th St, Marina, CA 93933-6003 | 2016-01-25 |
| Find all providers in the same location | ||||
| 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 |
| 1801453410 | Corinne Boulger | Marriage & Family Therapist | 617 Bayonet Cir, Marina, CA 93933-4600 | 2019-05-20 |
| 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 |
| Find all providers in MARINA | ||||
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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.