Individual provider Active NPI

Cynthia Ann Boland, LMFT

  • Marriage & Family Therapist
  • Sierra Madre, CA
National Provider Identifier
1184174518
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT94182 Issued in CA
Practice address
37 Auburn Ave Ste 9
Sierra Madre, CA 91024-1846
Phone
(310) 663-2804
Fax
(626) 298-8069
NPI assigned
Oct 10, 2016
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT94182 CA Primary

Addresses

Primary practice location

37 Auburn Ave Ste 9
Sierra Madre, CA 91024-1846

Mailing address

37 Auburn Ave Ste 9
Sierra Madre, CA 91024-1846
Phone (310) 663-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117000123 CA Practitioner - Marriage and Family Therapist 7214045079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 Auburn Ave
Suite 9
Sierra Madre, CA 91024-1846
Phone (310) 663-2804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT94182CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Mindfulness Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Zephyr Therapy LLC Marriage & Family Therapist CurrentSince Mar 12, 2023 Accepting new patients

Locations

461 W Woodbury Rd
Altadena, CA 91001
Phone (626) 524-4209

37 Auburn Ave
Ste 9
Sierra Madre, CA 91024
Phone (310) 663-2804

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1184174518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 AUBURN AVE STE 9",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241846",
            "telephone_number": "310-663-2804",
            "fax_number": "626-298-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 AUBURN AVE STE 9",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241846",
            "telephone_number": "310-663-2804",
            "fax_number": "626-298-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT94182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

Verify at the official NPI Registry.