Nancy K Bohl, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

NANCY K BOHL, INC

Practice address

1881 Business Center Dr Ste 11
San Bernardino, CA 92408-3438

Phone

(909) 884-0133

NPI assigned

Sep 12, 2011

Organization subpart

No

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

Authorized official

Name

Julie Koot

Title

Cfo

Phone

(909) 884-0133

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• The Counseling Team International Doing business as

Locations

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1629350079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10427",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230427",
            "telephone_number": "909-884-0133",
            "fax_number": "909-384-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 BUSINESS CENTER DR STE 11",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083438",
            "telephone_number": "909-884-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY K BOHL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "KOOT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-884-0133"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JULIE RATHBUN",
            "identifier": "1184040222",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANGELA RONAN",
            "identifier": "1265854665",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMANDA STEIGER",
            "identifier": "1164813374",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KATHLEEN WELLBROCK",
            "identifier": "1407124761",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STURM",
            "identifier": "1962688796",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEBORAH SILVERIA",
            "identifier": "1548353873",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDREW CLACK",
            "identifier": "1578903175",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTA WALLIS",
            "identifier": "1922425776",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SARAH WILKINSON",
            "identifier": "1497172001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANGELIKA ROBINSON",
            "identifier": "1780872168",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES DONCKELS",
            "identifier": "1851701197",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANA KAHLE",
            "identifier": "1134488265",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NANCY BOHL-PENROD",
            "identifier": "1629350079",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Counseling Team International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.