Kelli Anne Bouscher, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150994 Issued in CA

Practice address

7658 N Santa Fe Ave
Fresno, CA 93722-2391

Phone

(559) 346-9003

NPI assigned

Apr 6, 2016

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1598129553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 W SHAW AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113515",
            "telephone_number": "559-270-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7658 N SANTA FE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222391",
            "telephone_number": "559-346-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 W Donner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223721",
            "country_code": "US",
            "telephone_number": "559-346-9003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3043 W Roberts Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112160",
            "country_code": "US",
            "telephone_number": "559-346-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUSCHER",
        "first_name": "KELLI",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason Blake Bowen, D.C.
• Scott Bowen, M.D.

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, 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 5, 2024; 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.