Individual provider Active NPI

Alexandra Bozick

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1306327325
Registry record updated Jun 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139108 Issued in CA
Practice address
25283 Cabot Rd Ste 107
Laguna Hills, CA 92653-5509
Phone
(949) 243-6311
NPI assigned
Aug 27, 2018
Last updated
Jun 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 139108 CA Primary

Addresses

Primary practice location

25283 Cabot Rd Ste 107
Laguna Hills, CA 92653-5509

Mailing address

16052 Beach Blvd Ste 218
Huntington Beach, CA 92647-3809
Phone (949) 243-6311

Other practice location 1

505 N Euclid St Ste 300
Anaheim, CA 92801
Phone (714) 871-5646

Other practice location 2

505 N Euclid St Ste 300
Anaheim, CA 92801
Phone (714) 871-5646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
139108CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceans for Individual, Marriage and Family Counseling Inc. CurrentSince Jun 1, 2023 Accepting new patients
Western Youth Services Past Accepting new patients

Locations

16052 Beach Blvd
Ste 218
Huntington Beach, CA 92647
Phone (714) 264-6659

25283 Cabot Rd
Ste 107
Laguna Hills, CA 92653
Phone (949) 215-9140

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1306327325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD STE 218",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473809",
            "telephone_number": "949-243-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25283 CABOT RD STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535509",
            "telephone_number": "949-243-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Euclid St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92801",
            "country_code": "US",
            "telephone_number": "714-871-5646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Euclid St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92801",
            "country_code": "US",
            "telephone_number": "714-871-5646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZICK",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.