Lourdes Amalia Vargas-Bogardus, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT36776 Issued in CA

Practice address

1368 Lincoln Ave Suite 212
San Rafael, CA 94901

Phone

(415) 505-5523

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lourdes Amalia Vargas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 18, 2024 through Jan 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1750468104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "NAVATO",
            "state": "CA",
            "postal_code": "94948",
            "telephone_number": "415-505-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 LINCOLN AVE SUITE 212",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-505-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-BOGARDUS",
        "first_name": "LOURDES",
        "middle_name": "AMALIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT36776",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC36776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "VARGAS",
            "middle_name": "AMALIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Marie Vano
• Heather Vantress, LIC.AC.
• Ruud Vanwijnen, PH.D.
• David Vara
• Claudia Isabel Vargas Cardenas, APCC
• Coral Vargas
• Thomas Dana Varin, DDS
• Elior Vas, MD
• Sara Vasquez, CADCII
• Jainy Vathikulam, DO

• Mental Health Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.