JILLIAN BOELKE
NPI 1376267906
Marriage & Family Therapist in Los Angeles, CA

Q: What is Jillian Boelke's NPI number?

The NPI number for Jillian Boelke is 1376267906. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Q: What is Jillian Boelke's specialty?

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

Q: Is Jillian Boelke enrolled in Medicare?

No. Jillian Boelke has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jillian Boelke was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2022Opted out of Medicare · through Feb 2, 2028

4620 HOLLYWOOD BLVD, LOS ANGELES, CA 90027(323) 642-8157 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jillian Boelke NPPES

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

JILLIAN BOELKE (NPI 1376267906) is an individual marriage & family therapist in Los Angeles, California and active in the NPI registry since September 2022. She has opted out of Medicare through February 2, 2028.

NPPES Registry Identity

NPI1376267906

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJILLIAN BOELKE

Location Address4620 HOLLYWOOD BLVDLos Angeles, CA 90027-5408

Mailing Address4620 Hollywood BlvdLos Angeles, CA 90027-5408

Phone(323) 642-8157

Sole ProprietorYes

Enumeration DateSeptember 27, 2022

NPPES CertifiedSeptember 27, 2022

✔ NPI 1376267906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

4620 HOLLYWOOD BLVD, Los Angeles, CA 90027

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jillian Boelke has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2024 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2024

Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

MS. AUTUMN GAEA WOODS M.A., AMFT

Marriage & Family Therapist