Deborah Bothun

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18111 Issued in CA

Practice address

400 Prospect St Unit 102
La Jolla, CA 92037-4754

Phone

(310) 663-1311

NPI assigned

Sep 8, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1083594204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PROSPECT ST UNIT 102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374754",
            "telephone_number": "310-663-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PROSPECT ST UNIT 102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374754",
            "telephone_number": "310-663-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHUN",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "18111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascal Gabriel Bortz, M.D
• Deisy Cristina Boscan, PH.D.
• Lauren Anne Bosch, M.A.
• Pamela Davis Boswell, D.O.
• Abha M Bosworth, PA
• Gregory P Botta, M.D./PH.D.
• Lauren Marie Botta, NP
• Michael J. Botte, M.D.
• Su Yong Boudreau
• Boughton Dermatology

• Mental Health Counselor in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.