CORINNE BOULGER MA
NPI 1801453410
Marriage & Family Therapist in Tustin, CA

Active since May 20, 2019Opted out of Medicare · through Aug 23, 2026
250 EL CAMINO REAL STE 213, TUSTIN, CA 92780(714) 367-4299 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2024, Mar 24, 2020, May 20, 2019 (3 updates tracked since 2019).

About Corinne Boulger Ma NPPES

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

CORINNE BOULGER MA (NPI 1801453410) is an individual marriage & family therapist in Tustin, California, licensed in California (148911) and active in the NPI registry since May 2019. She has opted out of Medicare through August 23, 2026.

NPPES Registry Identity

NPI1801453410
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCORINNE BOULGERCredential: MA
Location Address250 EL CAMINO REAL STE 213Tustin, CA 92780-3656
Mailing Address250 El Camino Real Ste 213Tustin, CA 92780-3656 · (714) 367-4299
Sole ProprietorYes
Enumeration DateMay 20, 2019
Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
NPI 1801453410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 148911 Licensed in CA · 104316
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.

250 EL CAMINO REAL STE 213, Tustin, CA 92780

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Corinne Boulger Ma 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 August 23, 2024 through August 23, 2026.

Opt-Out Effective DateAugust 23, 2024
Opt-Out In Effect ThroughAugust 23, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780
Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780
Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780
Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780
Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780
Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780
Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780
Marriage & Family Therapist
250 EL CAMINO REAL STE 213
TUSTIN, CA 92780

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 Corinne Boulger's NPI number?

The NPI number for Corinne Boulger is 1801453410. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Corinne Boulger located?

Corinne Boulger practices at 250 El Camino Real Ste 213, Tustin, CA 92780. The listed phone number is (714) 367-4299.

What is Corinne Boulger's specialty?

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

Is Corinne Boulger enrolled in Medicare?

No. Corinne Boulger has opted out of Medicare through August 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Corinne Boulger was last updated on August 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.