Active NPI
Gabriella Hope Boeger, MS, LMFT
- Marriage & Family Therapist
- Lenexa, KS
National Provider Identifier
1134720774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 03211
- Practice address
- 12351 W 96TH Ter Ste 108
Lenexa, KS 66215-4400 - Phone
- (913) 491-6876
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 03211 | KS | Primary |
Addresses
Primary practice location
12351 W 96TH Ter Ste 108
Lenexa, KS 66215-4400
Mailing address
717 Broadway Blvd Apt 603
Kansas City, MO 64105-2096
Phone (913) 634-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03211 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1134720774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 BROADWAY BLVD APT 603",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641052096",
"telephone_number": "913-634-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12351 W 96TH TER STE 108",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154400",
"telephone_number": "913-491-6876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEGER",
"first_name": "GABRIELLA",
"middle_name": "HOPE",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "03211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.