Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. CAROLINE BOUSSENOT
NPI 1154112019
Marriage & Family Therapist in San Rafael, CA

Q: What is Caroline Boussenot's NPI number?

The NPI number for Caroline Boussenot is 1154112019. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Q: What is Caroline Boussenot's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since May 13, 2025

1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901(415) 456-7724 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, May 13, 2025 (2 updates tracked since 2025).

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About Ms. Caroline Boussenot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROLINE BOUSSENOT (NPI 1154112019) is an individual marriage & family therapist in San Rafael, California, licensed in California (165856) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1154112019

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. CAROLINE BOUSSENOT

Location Address1480 LINCOLN AVE STE 8San Rafael, CA 94901-2085

Mailing Address7454 Rockway AveEl Cerrito, CA 94530-3750 · (650) 430-4472

Phone(415) 456-7724

Sole ProprietorYes

Enumeration DateMay 13, 2025

Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1154112019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 165856

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1480 LINCOLN AVE STE 8, San Rafael, CA 94901

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHANNA A SLOB

Marriage & Family Therapist