Active NPI
Jennifer Mae Boyea, M.A., LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1851437578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50099
- Practice address
- 5650 Mount Ackerly Dr
San Diego, CA 92111-4016 - Phone
- (858) 302-3300
- NPI assigned
- Jan 29, 2007
- Last updated
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 50099 | CA | Primary |
Addresses
Primary practice location
5650 Mount Ackerly Dr
San Diego, CA 92111-4016
Mailing address
2351 Cardinal LN
San Diego, CA 92123-3743
Phone (858) 573-2227
Other practice location 1
77345 Avenida Montezuma
LA Quinta, CA 92253-3104
Phone (619) 922-2353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50099 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1851437578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 CARDINAL LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233743",
"telephone_number": "858-573-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 MOUNT ACKERLY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921114016",
"telephone_number": "858-302-3300"
}
],
"practiceLocations": [
{
"address_1": "77345 Avenida Montezuma",
"address_purpose": "LOCATION",
"city": "LA Quinta",
"state": "CA",
"postal_code": "922533104",
"country_code": "US",
"telephone_number": "619-922-2353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYEA",
"first_name": "JENNIFER",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.