Kassandra Boortz, LMFT, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KASSANDRA BOORTZ, LMFT, LLC

Practice address

881 Primrose LN
Nipomo, CA 93444-5410

Phone

(805) 888-0912

NPI assigned

Feb 11, 2026

Last updated

Feb 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kassandra Dawn Boortz, LMFTNPI 1407233869

Title

LMFT

Phone

(805) 888-1732

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kassandra Boortz, LMFT #105335

  • Marriage & Family Therapist
  • Nipomo, CA
  • NPI 1407233869
  NPD Authorized official

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1275485369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 BROAD ST # 1088",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016702",
            "telephone_number": "805-888-1732",
            "fax_number": "888-649-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 PRIMROSE LN",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445410",
            "telephone_number": "805-888-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSANDRA BOORTZ, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "BOORTZ",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "805-888-1732",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teeranun Jirajariyavej, M.D.
• Malia Lynn Johnson, DDS
• Maya Johnson, PA-C
• Janelle Suzanne Jost, FNP-BC
• Atipon Kangwanpornsiri, M.D.
• Anna Belle Kim, M.D.
• Bo Ram Kim, REGISTERED PHARMACIS
• Patricia Kimmel
• Nancy Ellen Kitson, MD
• Taylor Renee Lauridsen

• Community/Behavioral Health Agency in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.