Individual provider Active NPI

Jennifer Wong Boyle, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1336525088
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
87415 Issued in CA
Practice address
10801 National Blvd Ste 251
Los Angeles, CA 90064-4141
Phone
(310) 737-8562
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 87415 CA Primary

Addresses

Primary practice location

10801 National Blvd Ste 251
Los Angeles, CA 90064-4141

Mailing address

11210 Sardis Ave Apt 406
Los Angeles, CA 90064-4190
Phone (310) 737-8562

Other practice location 1

11210 Sardis Ave Apt 406
Los Angeles, CA 90064-4190
Phone (310) 737-8562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120002926 CA Practitioner - Marriage and Family Therapist 8729570452 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10801 National Blvd
Suite 252
Los Angeles, CA 90064-4141
Phone (310) 737-8562

11210 Sardis Ave
Apt 406
Los Angeles, CA 90064-4187

11210 Sardis Ave
Apt 406
Los Angeles, CA 90064-4190
Phone (310) 737-8562

11210 Sardis Ave Apt
Suite 406
Los Angeles, CA 90064-4190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87415CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1336525088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 SARDIS AVE APT 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644190",
            "telephone_number": "310-737-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 251",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644141",
            "telephone_number": "310-737-8562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11210 Sardis Ave Apt 406",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900644190",
            "country_code": "US",
            "telephone_number": "310-737-8562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JENNIFER",
        "middle_name": "WONG",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.