Venus M Bobis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1837 Issued in NC

Practice address

1801 E 5TH St Ste 101
Charlotte, NC 28204-2472

Phone

(415) 302-2573

NPI assigned

Feb 11, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Venus Jendresen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stonewall Project, UCSF

  • Public Health or Welfare Agency
  • San Francisco, CA
  • NPI 1356489025
  NPD (past)

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700927753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282149639",
            "telephone_number": "415-302-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 5TH ST STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042472",
            "telephone_number": "415-302-2573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 18th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941102042",
            "country_code": "US",
            "telephone_number": "415-502-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBIS",
        "first_name": "VENUS",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENUS",
            "last_name": "JENDRESEN",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shavonne Boatwright
• Carly Bobal, PSYD
• Bobbi Ashi
• Loriann Bobins
• Mary G Bobis, NCLCSW C000508
• William E. Bobo, M.D.
• Maria L Boccia, D.MIN.
• Patricia M Bock, RPH
• William Clifford Bock, MD
• William L. Bockenek, MD

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.