Organization · Type 2 NPI

Kassandra Boortz, Lmft, LLC

Community/Behavioral Health Agency · Nipomo, CA

NPI number 1275485369 Active

Practice location

881 Primrose Ln
Nipomo, CA 93444-5410

Mailing address

2950 Broad St # 1088
San Luis Obispo, CA 93401-6702

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1275485369

Kassandra Boortz, Lmft, LLC's National Provider Identifier is 1275485369, issued on Feb 11, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Nipomo, CA. The record was last updated on Feb 11, 2026.