Organization Active NPI

Kristen M. Boothe a Marriage and Family Counseling Corporation

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1124342167
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42128 Issued in CA
Legal business name
KRISTEN M. BOOTHE A MARRIAGE AND FAMILY COUNSELING CORPORATION
Practice address
711 Jefferson St
Suite 101
Fairfield, CA 94533-5511
Phone
(707) 631-9906
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Kristen M Boothe, MFT
Title
President- Licensed MFT
Phone
(707) 631-9906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC42128 CA Primary

Addresses

Primary practice location

711 Jefferson St
Suite 101
Fairfield, CA 94533-5511

Mailing address

711 Jefferson St
Suite 101
Fairfield, CA 94533-5511
Phone (707) 631-9906

Other names 1

  • Alternative Family Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alternative Family Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

711 Jefferson St
Ste 101
Fairfield, CA 94533
Phone (707) 428-7100

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1124342167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON ST",
            "address_2": "SUITE 101",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335511",
            "telephone_number": "707-631-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON ST",
            "address_2": "SUITE 101",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335511",
            "telephone_number": "707-631-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN M. BOOTHE A MARRIAGE AND FAMILY COUNSELING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT- LICENSED MFT",
        "authorized_official_telephone_number": "707-631-9906",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Family Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.