Individual provider Active NPI

Jessica Kit Boisvert Meyer, LMFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1770820193
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130524 Issued in CA
Practice address
2350 Buhne St Ste a
Eureka, CA 95501-3205
Phone
(707) 443-4593
NPI assigned
Jan 4, 2013
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 10915461 CA
Lactation Consultant (Non-RN) 174N00000X 10615461 CA
Marriage & Family Therapist 106H00000X 130524 CA Primary

Addresses

Primary practice location

2350 Buhne St Ste a
Eureka, CA 95501-3205

Mailing address

1275 8TH St
Arcata, CA 95521-5770
Phone (707) 826-8633

Other practice location 1

1644 Central Ave
McKinleyville, CA 95519-4342
Phone (707) 839-3068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240114000051 CA Practitioner - Marriage and Family Therapist 8123470242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1644 Central Ave
McKinleyville, CA 95519-4342
Phone (707) 839-3068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10915461CAMDHealth Educator
10615461CAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers CurrentSince Jan 1, 2024 Accepting new patients
Open Door Community Health Centers CurrentSince Jan 1, 2024 Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

3800 Janes Rd
#101
Arcata, CA 95521
Phone (707) 822-1385

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636

2350 Buhne St
Eureka, CA 95501
Phone (707) 443-4593

2350 Buhne St
Ste A
Eureka, CA 95501
Phone (707) 443-4593

2426 Buhne St
Eureka, CA 95501
Phone (707) 442-4038

1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068

670 9th St
Ste 203
McKinleyville, CA 95521

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1770820193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 8TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215770",
            "telephone_number": "707-826-8633",
            "fax_number": "707-826-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BUHNE ST STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013205",
            "telephone_number": "707-443-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 Central Ave",
            "address_purpose": "LOCATION",
            "city": "McKinleyville",
            "state": "CA",
            "postal_code": "955194342",
            "country_code": "US",
            "telephone_number": "707-839-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOISVERT MEYER",
        "first_name": "JESSICA",
        "middle_name": "KIT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "10915461",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "10615461",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.