Boundaries Family Counseling &Licensed Clinical Social Worker Corp.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS 20560 Issued in CA

Legal business name

BOUNDARIES FAMILY COUNSELING &LICENSED CLINICAL SOCIAL WORKER CORP.

Practice address

135 E 3Rd Ave
Ste. B
Escondido, CA 92025-4252

Phone

(760) 705-8468

Fax

(760) 735-2922

NPI assigned

Nov 24, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Holly Hastings Gines, LCSW

Title

Owner/President

Phone

(858) 212-4454

Specialties & licenses 1

Addresses

Other names 1

• Boundaries Clinic, Boundaries Family Counseling Doing business as

Locations

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1821326158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N ROSE ST",
            "address_2": "STE. 211",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920277222",
            "telephone_number": "760-705-8468",
            "fax_number": "760-735-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 3RD AVE",
            "address_2": "STE. B",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254252",
            "telephone_number": "760-705-8468",
            "fax_number": "760-735-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDARIES FAMILY COUNSELING &LICENSED CLINICAL SOCIAL WORKER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "HASTINGS GINES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-212-4454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS 20560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boundaries Clinic, Boundaries Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip C Bosch, M.D.
• Stacy De Vries Bostrom, MSW
• Lucille Bosworth
• Caitlyn Bottom
• Rebecca Lynn Bouchillon
• Bradley Duane Bourcy, D.D.S., M.S.
• Griffon Bourgeois
• Kelsey Nicole Bousema
• Curtis Quinn Bovee
• Emily Kyo Bowen, PNP, RN

• Community/Behavioral Health Agency in Escondido, CA
• Providers in Escondido, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.