Individual provider Active NPI

Bonnie Martin Riddle, LMFT

  • Marriage & Family Therapist
  • The Woodlands, TX
National Provider Identifier
1184801235
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201335 Issued in TX
Practice address
25301 Borough Park Dr
Ste. 228
The Woodlands, TX 77380-3553
Phone
(713) 705-1672
NPI assigned
Jan 30, 2008
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201335 TX Primary

Addresses

Primary practice location

25301 Borough Park Dr
Ste. 228
The Woodlands, TX 77380-3553

Mailing address

25301 Borough Park Dr
Ste. 228
The Woodlands, TX 77380-3553
Phone (713) 705-1672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201335TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1184801235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25301 BOROUGH PARK DR",
            "address_2": "STE. 228",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803553",
            "telephone_number": "713-705-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25301 BOROUGH PARK DR",
            "address_2": "STE. 228",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803553",
            "telephone_number": "713-705-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "BONNIE",
        "middle_name": "MARTIN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.