Jennifer Diane Bolen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53385 Issued in CA

Practice address

1467 N Whiteash Ave
Clovis, CA 93619-8116

Phone

(559) 930-7147

NPI assigned

Aug 13, 2008

Reactivated

Dec 4, 2025

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

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.

Specialty

Marriage and Family Therapist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Telecare Corporation

  dba Telecare Sanger Place

  • Mental Illness Community Based Residential Treatment Facility
  • Sanger, CA
  • NPI 1700193570
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1417103169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572251",
            "telephone_number": "559-875-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 N WHITEASH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198116",
            "telephone_number": "559-930-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "deactivation_date": "2025-11-09",
        "reactivation_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body and Mind Healthcare Services LLC
• Donald Kenneth Boehm Jr., MD
• Brenden James Boesch
• Darren Dion Bogle, DDS
• Honeylet Boiser, OTR/L
• James J Bolich, L.P.T.
• Christian Marie Boling
• Siavash Bolourani
• Juyong Bong, M.D.
• Kelsey Allison Bonilla, MD

• Marriage & Family Therapist in Clovis, CA
• Providers in Clovis, 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 Dec 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.