Bonnijean Henry

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

103TP2700X Issued in CA

Practice address

2501 Harrison St
Oakland, CA 94612-3811

Phone

(510) 444-3344

NPI assigned

Aug 24, 2016

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

Other names 1

• BJ Henry Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 5, 2024 through Jan 5, 2028

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.

• John F. Kennedy University

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1871954388
  NPD (past)
• Oakland Counseling Center

  • Case Management Agency
  • Oakland, CA
  • NPI 1053956755
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1184179624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 VIA MONTE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983542",
            "telephone_number": "925-788-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123811",
            "telephone_number": "510-444-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BONNIJEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "103TP2700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BJ",
            "last_name": "HENRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Xochitl Henninger, RN
• Christian A Henricksen, M.A.
• Francisco Javier Henriquez
• Silvia Henriquez
• Bianca Henry
• Hebstie Engedaw Henry
• John Henry, MFT
• Keith Jerald Henry
• L'Nette G Henry
• Lahoma Henry

• Group Psychotherapy Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.