Michelle Nicole Bonner, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT87977 Issued in CA

Practice address

24077 State Highway 49
Nevada City, CA 95959-8519

Phone

(530) 265-9057

Fax

(530) 292-3803

NPI assigned

Mar 2, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1295893014
  NPD (past)
• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1689732406
  NPD (past)
• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1962560771
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1164550752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 STATE HIGHWAY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598519",
            "telephone_number": "530-265-9057",
            "fax_number": "530-292-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 STATE HIGHWAY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598519",
            "telephone_number": "530-265-9057",
            "fax_number": "530-292-3803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Sweet Acacia Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958291130",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7818 Bar Du Ln",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958299469",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6171 Bradshaw Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958299334",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT87977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Lynn Bernadett, DDS MSCD
• Justin Bevard
• Nicole Blaney
• Courtney Danielle Bloch
• Chesy Boland
• Bonnie B Connor
• Harold Bordenave
• Jeanne Marie Bornstein
• Julie A Boyden, CADC
• Kathleen M Boyer, LM

• All providers in Nevada City, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.