Bobbi Fosburg Psychotherapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BOBBI FOSBURG PSYCHOTHERAPY, LLC

Practice address

3070 Rasmussen Rd Ste 170
Park City, UT 84098-5519

Phone

(435) 640-3420

NPI assigned

Nov 6, 2025

Last updated

Nov 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bobbi Anne FosburgNPI 1558640276

Title

LCSW

Phone

(435) 640-3420

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobbi Anne Fosburg, LCSW

  • Clinical Social Worker
  • Park City, UT
  • NPI 1558640276
  NPD Authorized official
• Tivoli Cousineau, LMFT

  • Marriage & Family Therapist
  • Park City, UT
  • NPI 1902272156
  NPD (past)

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1144190133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 MARKET ST APT H",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987979",
            "telephone_number": "435-640-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 RASMUSSEN RD STE 170",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985519",
            "telephone_number": "435-640-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBI FOSBURG PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "FOSBURG",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "435-640-3420"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Sonntag Blackham, DMD, MS
• Natalie Marie Blaskowski, PA-C
• Shari Bloom, PA-C
• Blue Sage Medical LLC
• Blue Sky Therapeutics, LLC
• Kathleen S Bochnowski, PT
• Coulson Dirk Boggess, PA-C
• Cress Roy Bohnn, M.D
• Winston Brent Bokor, MD
• Rodolfo Steven Bonilla, CSW

• Community/Behavioral Health Agency in Park City, UT
• Providers in Park City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.