Individual provider Active NPI

Antonia Renee Bouyer, M.A., L.M.F.T.

  • Marriage & Family Therapist
  • Santa Clarita, CA
National Provider Identifier
1609916626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT25345 Issued in CA
Practice address
18333 Dolan Way Ste 210
Santa Clarita, CA 91387-5423
Phone
(661) 284-7727
Fax
(661) 284-7727
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFT25345 CA Primary

Addresses

Primary practice location

18333 Dolan Way Ste 210
Santa Clarita, CA 91387-5423

Mailing address

18333 Dolan Way Ste 210
Santa Clarita, CA 91387-5423
Phone (661) 284-7727

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

State licenses

LicenseStateTypeSpecialty
MFT25345CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609916626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 DOLAN WAY STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913875423",
            "telephone_number": "661-284-7727",
            "fax_number": "661-284-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 DOLAN WAY STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913875423",
            "telephone_number": "661-284-7727",
            "fax_number": "661-284-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUYER",
        "first_name": "ANTONIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT25345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.