Crystal Lina Bunnell

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

144522 Issued in CA

Practice address

3491 Concours Ste 202
Ontario, CA 91764-5927

Phone

(909) 284-4504

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

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

Locations

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

• Milestone Marriage and Family Therapy Services Professional Corporati

  • Marriage & Family Therapist
  • Ontario, CA
  • NPI 1689275810
  NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1336901081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11352 PENANOVA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291028",
            "telephone_number": "858-603-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 CONCOURS STE 202",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645927",
            "telephone_number": "909-284-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNELL",
        "first_name": "CRYSTAL LINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Bui
• Nga Nguyen Ngoc Bui
• Building Bridges Christian Counseling
• Building Bridges Foster Family Agency
• Daniel Belvarian Bunhardi, ATC
• Amanda Buonya
• Erica Danielle Burbank
• Burciaga Speech Pathology, Inc. (Our Home Pediatric Therapy)
• Stefanie Burciaga, MS, CCC-SLP
• Victoria Burk

• Marriage & Family Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.