MS. KENZA MARIE BOUMOULA
NPI 1780248633
Marriage & Family Therapist in Gilroy, CA

Q: What is Kenza Boumoula's NPI number?

The NPI number for Kenza Boumoula is 1780248633. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Q: What is Kenza Boumoula's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenza Boumoula was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 25, 2019PECOS Enrolled

290 IOOF AVE, GILROY, CA 95020(408) 871-4900 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Apr 5, 2020, Apr 25, 2019 (3 updates tracked since 2019).

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About Ms. Kenza Marie Boumoula NPPES

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

MS. KENZA MARIE BOUMOULA (NPI 1780248633) is an individual marriage & family therapist in Gilroy, California, licensed in California (120682) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1780248633

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. KENZA MARIE BOUMOULA

Location Address290 IOOF AVEGilroy, CA 95020-5204

Mailing Address290 Ioof AveGilroy, CA 95020-5204 · (408) 871-4900

Phone(408) 871-4900

Sole ProprietorNo

Enumeration DateApril 25, 2019

Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration

NPPES CertifiedNovember 12, 2020

✔ NPI 1780248633 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 · 120682

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.

290 IOOF AVE, Gilroy, CA 95020

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Secondary Practice Location 1

Location 11885 Lundy Ave Ste 223San Jose, CA 95131-1888 · Phone (408) 284-9000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kenza Marie Boumoula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

YESENIA SALINAS

Case Manager/Care Coordinator

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 846-2148

ADRIANA PATRICIA OROZCO

Case Manager/Care Coordinator

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 500-9049

CRYSTAL LE

Marriage & Family Therapist

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 846-2100

MARTHA ELENA ACOSTA

Rehabilitation Practitioner

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 846-2113

MARTHA EILEEN FERGUSON

Case Manager/Care Coordinator

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 846-2474

MARTHA SUSANNA GUARDADO

Case Manager/Care Coordinator

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 846-2100

MARTHA CONCEPTA NJIE

Case Manager/Care Coordinator

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 846-2100

ADRIANA ANDRADE DIAZ

Rehabilitation Practitioner

290 IOOF AVE
GILROY, CA 95020

Santa Clara County (408) 846-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenza Boumoula's NPI number?

The NPI number for Kenza Boumoula is 1780248633. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Kenza Boumoula located?

Kenza Boumoula practices at 290 Ioof Ave, Gilroy, CA 95020. The listed phone number is (408) 871-4900.

What is Kenza Boumoula's specialty?

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

Is Kenza Boumoula enrolled in Medicare?

Yes. Kenza Boumoula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenza Boumoula was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.