Lizette Bonilla, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

95097 Issued in CA

Practice address

1147 S Alvarado St
Los Angeles, CA 90006-4100

Phone

(213) 381-8500

Fax

(213) 381-9410

NPI assigned

Sep 9, 2019

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

Practice roles

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.

• Alcoholism Center for Women

  • Case Manager/Care Coordinator
  • Los Angeles, CA
  • NPI 1194263749
  NPD (past)
• Alcoholism Center for Women

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1396962031
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1801445176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064100",
            "telephone_number": "133-818-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064100",
            "telephone_number": "213-381-8500",
            "fax_number": "213-381-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "LIZETTE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "95097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Bonilla
• Delsie Gutierrez Bonilla, LMFT
• Ericka Bonilla, LCSW
• Kevin Jason Bonilla, B.A.
• Letia Kavonidia Bonilla
• Luzcamila Bonilla
• Vincent Johnny Bonilla Jr.
• Walter Bonilla
• Emily Bonin, DPT
• Bonita C. Hornstein, D.D.S.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 17, 2022; 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.