Individual provider Active NPI

Claudia Bouslough, M.S., M.A., LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1538414800
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 51654 Issued in CA
Practice address
5053 La Mart Dr
Suite 105
Riverside, CA 92507-0609
Phone
(951) 403-1495
NPI assigned
Jul 23, 2012
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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 MFC 51654 CA Primary

Addresses

Primary practice location

5053 La Mart Dr
Suite 105
Riverside, CA 92507-0609

Mailing address

5053 La Mart Dr
Suite 105
Riverside, CA 92507-0609
Phone (951) 403-1495

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
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 51654CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1538414800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 LA MART DR",
            "address_2": "SUITE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070609",
            "telephone_number": "951-403-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 LA MART DR",
            "address_2": "SUITE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070609",
            "telephone_number": "951-403-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSLOUGH",
        "first_name": "CLAUDIA",
        "credential": "M.S., M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.