John Kenneth Bukenberger, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC24829 Issued in CA

Practice address

52 N Tu Su LN
Bishop, CA 93514-8058

Phone

(760) 873-6394

Fax

(760) 873-3254

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Toiyabe Indian Health Project, Inc

  • Clinic Pharmacy
  • Bishop, CA
  • NPI 1093720609
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871646497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7979",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935467979",
            "telephone_number": "760-935-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N TU SU LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148058",
            "telephone_number": "760-873-6394",
            "fax_number": "760-873-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKENBERGER",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC24829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI NUMBER",
            "identifier": "1659433191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Edred Brown
• Jeffrey Lee Brown, PHARM.D.
• Kelli Mischelle Brown
• Merry Sue Brown
• Stacey Lee Brown, MD
• Cal-Ore Life Flight LLC
• Cameron N. Hopkins, D.D.S.
• Deanna Ing Campbell
• Brian Lloyd Carkeet, DDS
• Fred William Carter III, OD

• Mental Health Counselor in Bishop, CA
• Providers in Bishop, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.