Individual provider Active NPI

Bernadette Latricia Boozer-Madison, PHD, MSW, LMFT

  • Marriage & Family Therapist
  • Washington, DC
National Provider Identifier
1801487764
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT000034 Issued in DC
Practice address
1319 F St NW Ste 301
Washington, DC 20004-1140
Phone
(202) 810-3439
Fax
(301) 560-8141
NPI assigned
Feb 2, 2021
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 LMFT000034 DC Primary

Addresses

Primary practice location

1319 F St NW Ste 301
Washington, DC 20004-1140

Mailing address

1319 F St NW Ste 301
Washington, DC 20004-1140
Phone (202) 810-3439

Other identifiers 1

IdentifierTypeStateIssuer
1801487764MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250808000962 DC Practitioner - Marriage and Family Therapist 9537667662 Reassigns benefits to 2 organizations
I20250827004665 VA Practitioner - Marriage and Family Therapist 9537667662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1319 F St NW
Suite 301
Washington, DC 20004-1140

PO Box
Dallas, TX 75373

PO Box
Suite 738012
Dallas, TX 75373-8012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquillium, LLC. Marriage & Family Therapist CurrentSince Nov 16, 2025 Accepting new patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Jul 15, 2025 Accepting new patients

Locations

1319 F St NW
Ste 301
Washington, DC 20004
Phone (202) 810-3439

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1801487764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 F ST NW STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041140",
            "telephone_number": "202-810-3439",
            "fax_number": "301-560-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 F ST NW STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041140",
            "telephone_number": "202-810-3439",
            "fax_number": "301-560-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZER-MADISON",
        "first_name": "BERNADETTE",
        "middle_name": "LATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DC",
            "license": "LMFT000034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801487764",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.