MS. BONNIE BEAU BLUE


Address: 1380 Lead Hill Blvd, Suite 110, Roseville, CA 95661-2941
Phone: 9164818171

MS. BONNIE BEAU BLUE (NPI# 1902825466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902825466
Entity Type Individual
Full Name MS. BONNIE BEAU BLUE
Credential MFT
Practice Address 1380 Lead Hill Blvd
Suite 110
Roseville
CA 95661-2941
Practice Telephone 9164818171
Practice Fax Number 9167863080
Mailing Telephone 9164818171
Mailing Fax Number 9167863080
Enumeration Date 2006-07-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFT41114 CA Behavioral Health & Social Service Providers

Other Providers BONNIE BLUE

NPI Name Taxonomy Address Enumeration
1477563278 Bonnie Lee Blue Contractor 4023 E National Cemetery Rd, Florence, SC 29506-5238 2006-08-08

Office Location

Street Address 1380 LEAD HILL BLVD
SUITE 110
City ROSEVILLE
State CA
Zip Code 95661-2941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891787644 Hearthstone Counseling Services, Inc. Psychologist 1380 Lead Hill Blvd, Ste. 110, Roseville, CA 95661-2941 2005-08-18
1306249628 Michele L Parsons Counselor 1380 Lead Hill Blvd, Suite 160, Roseville, CA 95661-2941 2014-09-30
1316080807 Linda Ankeney Marriage & Family Therapist 1380 Lead Hill Blvd, Suite 160, Roseville, CA 95661-2941 2007-02-14
1093862203 Leilani Ann Jennings Psychologist 1380 Lead Hill Blvd, Suite 110, Roseville, CA 95661-2941 2007-01-03
1962514026 Patricia Lynn Allison Marriage & Family Therapist 1380 Lead Hill Blvd, Suite 110, Roseville, CA 95661-2941 2006-08-31
1326061813 Kina Annette Johnson Clark Psychologist 1380 Lead Hill Blvd, #110, Roseville, CA 95661-2941 2006-07-25
1790777399 Robert Winston Bennett Jr. Psychologist 1380 Lead Hill Blvd, Ste. 110, Roseville, CA 95661-2941 2005-08-19
1700878550 Holly Ilfeld Psychologist 1380 Lead Hill Blvd, Ste. 110, Roseville, CA 95661-2941 2005-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134777816 Aprildawn Mccarty Mccarty Behavior Technician 2125 Professional Dr, 100, Roseville, CA 95661 2019-08-27
1407409089 David Armel Gomez Croddy Dentist 2740 Carradale Drive, Roseville, CA 95661 2019-07-22
1699335612 Mowell Durable Medical Equipment & Medical Supplies 901 Sunrise, Roseville, CA 95661 2019-06-20
1578024998 Mystesia Lasan Hayes Behavior Technician 4121 Vittorio Dr., Roseville, CA 95661 2019-03-28
1033676457 The Place Within Counselor 720 Sunrise Ave #d115, Roseville, CO 95661 2019-02-21
1396217733 Tuyen Thi Thanh Nguyen Respiratory Therapist, Registered Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 2018-12-26
1982179776 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 1565 Eureka Road, Suite 5, Roseville, CA 95661 2018-10-08
1184106536 Sabita Kondle Marriage & Family Therapist 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 2018-09-02
1740787837 Sylvia A Atieno Nurse Practitioner Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 2018-04-06
1457875296 Good Works Psychophysiology and Physical Therapy Physical Therapist 1650 Leadhill Blvd, 600, Roseville, CA 95661 2017-08-02
Find all providers in zip 95661

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760083679 Heidi J Flanagan Marriage & Family Therapist 705 Sunrise Ave, D115, Roseville, CA 95661-6411 2020-11-06
1679184337 Joy Light Marriage & Family Therapist 300 Harding Blvd Ste 211, Roseville, CA 95678-2473 2020-08-14
1366098725 Julie Anna Keller Marriage & Family Therapist 700 Gibson Dr Apt 1713, Roseville, CA 95678-5762 2019-08-12
1376105593 David Heitzler Marriage & Family Therapist 8150 Industrial Ave Bldg A, Roseville, CA 95678-5903 2019-07-08
1124592027 Kristin Lynn Beebe Marriage & Family Therapist 17955 E 11 Mile Rd, Roseville, MI 48066-2942 2019-01-15
1952874752 Andrea A Kelly Marriage & Family Therapist 1680 Stone Canyon Dr, Roseville, CA 95661-4041 2019-01-04
1184106536 Sabita Kondle Marriage & Family Therapist 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 2018-09-02
1205315520 Katherine I Brown Marriage & Family Therapist 720 Sunrise Ave Ste 212, Roseville, CA 95661-4516 2018-08-08
1073004396 Samuel Henning Marriage & Family Therapist 3300 Douglas Blvd Ste 240, Roseville, CA 95661-4287 2018-05-22
1245739465 Isaiah Hulme Marriage & Family Therapist 1100 Melody Ln Ste 218, Roseville, CA 95678-5207 2018-02-02
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 95661

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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