Jeremy Norman Bohrer, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT137143 Issued in CA

Practice address

5266 Hollister Ave Ste 101
Goleta, CA 93111-2066

Phone

(805) 232-4420

NPI assigned

Jan 30, 2023

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1295441483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W SOLA ST APT 3",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013039",
            "telephone_number": "707-364-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 101",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112066",
            "telephone_number": "805-232-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "JEREMY",
        "middle_name": "NORMAN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT137143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Bisaccia, PT, DPT
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• Malea Braswell

• Mental Health Counselor in Goleta, CA
• Providers in Goleta, 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 30, 2023; 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.