Active NPI
Kristen M. Boothe a Marriage and Family Counseling Corporation
- Marriage & Family Therapist
- Fairfield, CA
National Provider Identifier
1124342167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC42128
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Alternative Family Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Maintenance Organization
- Fairfield, CA
- NPI 1396081626
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.