Organization Active NPI

Boost Counseling & Neurofeedback

  • Mental Health Counselor
  • Temecula, CA
National Provider Identifier
1932966439
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BOOST COUNSELING & NEUROFEEDBACK
Practice address
31045 Temecula Pkwy Ste 204
Temecula, CA 92592-3085
Phone
(951) 216-3303
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Tonya Thone, LPCCNPI 1801527817
Title
President / Owner
Phone
(951) 216-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

31045 Temecula Pkwy Ste 204
Temecula, CA 92592-3085

Mailing address

43832 Calle Colina
Temecula, CA 92590-4903
Phone (818) 395-0584

Other identifiers 2

IdentifierTypeStateIssuer
1619559408MedicaidCA
1801527817MedicaidCA

National Provider Directory

National Provider Directory

Locations

31045 Temecula Pkwy
Ste 204
Temecula, CA 92592
Phone (951) 216-3303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1932966439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43832 CALLE COLINA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904903",
            "telephone_number": "818-395-0584",
            "fax_number": "951-524-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31045 TEMECULA PKWY STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923085",
            "telephone_number": "951-216-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOST COUNSELING & NEUROFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "THONE",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "951-216-3303",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619559408",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801527817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.