Christian Bogh Professional Clinical Counselor Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC.

Practice address

5790 Magnolia Ave Ste 202
Riverside, CA 92506-1874

Phone

(909) 709-2071

Fax

(951) 346-3333

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Christian Garth Bogh, LMFT

Title

Owner

Phone

(909) 709-2071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christian Garth Bogh Other name

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1265062020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 MAGNOLIA AVE STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061874",
            "telephone_number": "909-709-2071",
            "fax_number": "951-346-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 MAGNOLIA AVE STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061874",
            "telephone_number": "909-709-2071",
            "fax_number": "951-346-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "BOGH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "GARTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-709-2071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LMFT LICENSE NUMBER",
            "identifier": "116200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Garth Bogh",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Seungman Choy, PHARMD
• Connie Melanie Choy, DPM
• Chris Delos Reyes Arca MD, PC
• Blake Christensen, OT
• Kathryn Christensen
• Jilian Christian, MS, ATC
• Marcia Christiansen
• Joyce Marie Christopher
• Raejean Christopher
• Chrysalis Family Counseling Center

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.