Boca Raton Counseling Center LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3057 Issued in FL

Legal business name

BOCA RATON COUNSELING CENTER LLC

Practice address

17723 Tiffany Trace Dr
Boca Raton, FL 33487-1225

Phone

(310) 594-9974

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Dustin Kebre, M.A; LMFTNPI 1952771578

Title

Owner

Phone

(310) 594-9974

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dustin Ross Kebre, M.A; LMFT

  • Marriage & Family Therapist
  • Boca Raton, FL
  • NPI 1952771578
  NPD (past) Authorized official

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1255701199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17723 TIFFANY TRACE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871225",
            "telephone_number": "310-594-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17723 TIFFANY TRACE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871225",
            "telephone_number": "310-594-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KEBRE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-594-9974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A; LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.