Eating Disorder Foundation of Orange County

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC46728 Issued in CA

Legal business name

EATING DISORDER FOUNDATION OF ORANGE COUNTY

Doing business as

Insight Counseling

Practice address

23232 Peralta Dr
Suite 211
Laguna Hills, CA 92653-1443

Phone

(949) 285-9827

Fax

(949) 488-2418

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Marie Bourquin, M.F.T.NPI 1306105465

Title

Executive Director/Primary Therapis

Phone

(949) 285-9827

Specialties & licenses 1

Addresses

Other names 1

• Insight Counseling Doing business as

Locations

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.

• Nicole Marie Bourquin, MS, LMFT

  • Marriage & Family Therapist
  • Laguna Hills, CA
  • NPI 1306105465
  NPD (past) Authorized official

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1649592379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR",
            "address_2": "SUITE 211",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531443",
            "telephone_number": "949-285-9827",
            "fax_number": "949-488-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR",
            "address_2": "SUITE 211",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531443",
            "telephone_number": "949-285-9827",
            "fax_number": "949-488-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER FOUNDATION OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "BOURQUIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/PRIMARY THERAPIS",
        "authorized_official_telephone_number": "949-285-9827",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Laguna Hills, CA
• Providers in Laguna Hills, 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 Feb 22, 2010; 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.