Organization Active NPI

Laura Bosworth, Inc

Doing business as The Counseling Place

  • Marriage & Family Therapist
  • Garden Grove, CA
National Provider Identifier
1487022539
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT53156 Issued in CA
Legal business name
LAURA BOSWORTH, INC
Doing business as
The Counseling Place
Practice address
12881 Knott St Ste 106
Garden Grove, CA 92841-3939
Phone
(562) 716-3461
NPI assigned
Sep 7, 2015
Last updated
Sep 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Authorized official

Name
Laura Bosworth, MSNPI 1386965432
Title
Therapist
Phone
(562) 716-3461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT53156 CA
Marriage & Family Therapist 106H00000X LMFT53156 CA Primary

Addresses

Primary practice location

12881 Knott St Ste 106
Garden Grove, CA 92841-3939

Mailing address

12881 Knott St Ste 106
Garden Grove, CA 92841-3939
Phone (562) 716-3461

Other names 1

  • The Counseling Place Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240117004277 CA Part B Supplier - Clinic/Group Practice 5799137543 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

12881 Knott St
Ste 106
Garden Grove, CA 92841
Phone (323) 314-1715

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1487022539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 KNOTT ST STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413939",
            "telephone_number": "562-716-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 KNOTT ST STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413939",
            "telephone_number": "562-716-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA BOSWORTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "BOSWORTH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "562-716-3461",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT53156",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT53156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Counseling Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.