Jennifer Boucher, M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60123453 Issued in WA

Practice address

6712 Kimball Dr
Gig Harbor, WA 98335-1212

Phone

(253) 858-2224

Fax

(253) 858-2254

NPI assigned

Dec 10, 2007

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1235312513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351212",
            "telephone_number": "253-858-2224",
            "fax_number": "253-858-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351212",
            "telephone_number": "253-858-2224",
            "fax_number": "253-858-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "JENNIFER",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60123453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Bordeaux, D.D.S., M.S.
• Todd Adam Born, ND
• Kristen Lea Borquist, MS, LMHC
• Brittany Ann Boss, PT, DPT
• Juliene Burgess Bottom, P.A.-C
• Trevor Bouten, DPT
• Susan E Bouterse, M.D.
• Ashley Bowen, LMP
• Denise Bowman, OTR/L
• Tania Robin Boyce, PA-C

• Marriage & Family Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.