Active NPI
Bryce Caleb Bonilla-Haenn, LPCC
- Professional Counselor
- Westminster, CA
National Provider Identifier
1851673966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6905
- Practice address
- 14140 Beach Blvd Ste 223
Westminster, CA 92683-4453 - Phone
- (714) 896-7566
- NPI assigned
- Sep 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6905 | CA | Primary |
Addresses
Primary practice location
14140 Beach Blvd Ste 223
Westminster, CA 92683-4453
Mailing address
14140 Beach Blvd Ste 223
Westminster, CA 92683-4453
Phone (714) 896-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1851673966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14140 BEACH BLVD STE 223",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834453",
"telephone_number": "714-896-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14140 BEACH BLVD STE 223",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834453",
"telephone_number": "714-896-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA-HAENN",
"first_name": "BRYCE",
"middle_name": "CALEB",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-14",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "6905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
- Bolsa Care Pharmacy Inc (Bolsa Care Pharmacy)
- Bolsa Express Pharmacy, Inc.
- Bolsa Medical Group
- Bolsa Medical Group
- Bolsa Outpatient Surgery Center a Medical Corporation
- Boyd J Joyer Jr DDS Inc
- Matthew Robert Brady, PSY.D.
- William Patrick Brake Jr., D.D.S.
- Brian Huy Thai, DMD, PC (Westminster Endodontics)
- Cathleen Sevilla Brinegar, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.