Heidi Marie Boatright, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT48911 Issued in CA

Practice address

130 E Leland Rd Ste C
Pittsburg, CA 94565-4954

Phone

(925) 252-1619

NPI assigned

Aug 30, 2015

Last updated

Aug 30, 2015By the provider in NPPES

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pinnacle Mental Wellness Group, a Family Counseling Community, Inc.

  • Marriage & Family Therapist
  • Pittsburg, CA
  • NPI 1386151702
  Medicare reassignment NPD

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440892800000",
    "number": "1487021051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E LELAND RD STE C",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654954",
            "telephone_number": "925-252-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LELAND RD STE C",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654954",
            "telephone_number": "925-252-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT48911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores Blackman Casely-Hayford
• Alise Nicole Blackmon
• Estella Renee Blackmon
• Randel D Block, P.T.
• Sonya N Blunt, RASI AND SAC
• Marlena Bocanegra
• Delilah Borg, SUDRC I
• Gabrielle Bouzon
• Isaiah Braden
• Jennifer Brady, DMHW

• Marriage & Family Therapist in Pittsburg, CA
• Providers in Pittsburg, 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 Aug 30, 2015; 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.