Active NPI
Bonnie Coleen Jay
- Counselor
- Bishop, CA
National Provider Identifier
1508079286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 162J Grove St
Bishop, CA 93514-2640 - Phone
- (760) 873-6533
- Fax
- (760) 873-3277
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
162J Grove St
Bishop, CA 93514-2640
Mailing address
290 Pioneer St
Santa Cruz, CA 95060-2133
Phone (831) 459-0444
Other practice location 1
941 El Dorado Ave
Santa Cruz, CA 95062-2863
Phone (831) 479-9494
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Community Services | Past | Accepting new patients | |
| County of Inyo | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bishop, CA
- NPI 1518225192
-
- Mental Illness Community Based Residential Treatment Facility
- Santa Cruz, CA
- NPI 1447474853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1508079286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 PIONEER ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602133",
"telephone_number": "831-459-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162J GROVE ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142640",
"telephone_number": "760-873-6533",
"fax_number": "760-873-3277"
}
],
"practiceLocations": [
{
"address_1": "941 El Dorado Ave",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950622863",
"country_code": "US",
"telephone_number": "831-479-9494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAY",
"first_name": "BONNIE",
"middle_name": "COLEEN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.