Individual provider Active NPI

Jennifer Bonilla, MS

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1881303303
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
349 E Avenue K6 Ste a
Lancaster, CA 93535-4548
Phone
(661) 723-4260
NPI assigned
Nov 23, 2022
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 104557 CA
Mental Health Counselor 101YM0800X 104557 CA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

349 E Avenue K6 Ste a
Lancaster, CA 93535-4548

Mailing address

349A E Avenue K6
Lancaster, CA 93535-4548
Phone (661) 723-4260

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbonilla@dhs.lacounty.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Interoperability endpoints

  • Direct secure messaging: jbonilla@dhs.lacounty.gov

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1881303303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349A E AVENUE K6",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354548",
            "telephone_number": "661-723-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E AVENUE K6 STE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354548",
            "telephone_number": "661-723-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "JENNIFER",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "104557",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "104557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbonilla@dhs.lacounty.gov",
            "affiliation": "N",
            "endpointDescription": "jbonilla@dhs.lacounty.gov",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jbonilla@dmh.lacounty.gov",
            "address_1": "349 E Avenue K6 Ste A",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935354548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.