Nicole Marie Bourquin, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 46728 Issued in CA

Practice address

23232 Peralta Dr
Suite 211
Laguna Hills, CA 92653-1443

Phone

(949) 285-9827

Fax

(949) 488-2418

NPI assigned

May 10, 2012

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 Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eating Disorder Foundation of Orange County

  dba Insight Counseling

  • Marriage & Family Therapist
  • Laguna Hills, CA
  • NPI 1649592379
  NPD (past) Authorized official

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1306105465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR",
            "address_2": "SUITE 211",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531443",
            "telephone_number": "949-285-9827",
            "fax_number": "949-488-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR",
            "address_2": "SUITE 211",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531443",
            "telephone_number": "949-285-9827",
            "fax_number": "949-488-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUIN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 46728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley A Bosch, M.A., L.M.F.T.
• Joshua Allen Both
• Emmanuel Bouche
• Jill Boultinghouse, LMFT
• Michael Bounds
• Breanna Bowers
• Alexandra Elizabeth Boyce
• Rodney Wayne Boyd
• Krysta Boyle, LMFT
• Alexandra Bozick

• Marriage & Family Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.