Organization Active NPI

Guided Life Therapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upland, CA
National Provider Identifier
1225831670
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GUIDED LIFE THERAPEUTICS
Doing business as
Guided Life Therapeutics
Practice address
600 N Euclid Ave Ste 103
Upland, CA 91786-4779
Phone
(747) 218-1622
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Katherine Carole Boulware, LMFTNPI 1083090658
Title
Owner
Phone
(626) 506-6265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

600 N Euclid Ave Ste 103
Upland, CA 91786-4779

Mailing address

600 N Euclid Ave Ste 103
Upland, CA 91786-4779
Phone (747) 218-1622

Other names 1

  • Guided Life Therapeutics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1225831670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N EUCLID AVE STE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864779",
            "telephone_number": "747-218-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N EUCLID AVE STE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864779",
            "telephone_number": "747-218-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED LIFE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "BOULWARE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "CAROLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-506-6265",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guided Life Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.