Bonnie E Jantzen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37AC00841700 Issued in NJ

Practice address

1 Brookfield Glen Dr
Belvidere, NJ 07823-2854

Phone

(908) 652-5311

NPI assigned

Dec 11, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1053128389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKFIELD GLEN DR",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078232854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKFIELD GLEN DR",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078232854",
            "telephone_number": "908-652-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANTZEN",
        "first_name": "BONNIE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37AC00841700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Dawn Gray, APN
• Erica Grebelsky, PT
• Jon P Heins, D.C.
• Ann Beverly Herring
• Michelle Anne Hiller, OTR/L
• John P Fritz DO PC
• Rebekah Lynne Johnson, LCSW, LCADC
• Lydia Jordan, LCSW, LCADC
• Scott J Jordan, DPT
• Jacqueline Mele Kaufman, RPH

• Marriage & Family Therapist in Belvidere, NJ
• Providers in Belvidere, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.