Active NPI
Jill Boultinghouse, LMFT
- Mental Health Counselor
- Laguna Hills, CA
National Provider Identifier
1376339978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC38771
- Practice address
- 23046 Avenida de la Carlota
Laguna Hills, CA 92653-1548 - Phone
- (949) 702-2360
- NPI assigned
- Apr 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC38771 | CA | Primary |
Addresses
Primary practice location
23046 Avenida de la Carlota
Laguna Hills, CA 92653-1548
Mailing address
26972 Highwood Cir
Laguna Hills, CA 92653-5843
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC38771 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1376339978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26972 HIGHWOOD CIR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23046 AVENIDA DE LA CARLOTA",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531548",
"telephone_number": "949-702-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULTINGHOUSE",
"first_name": "JILL",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC38771",
"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 Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.