Sofia Bolanos-Kellison

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1889 Harrison St Unit 649
Oakland, CA 94612-3551

Phone

(530) 574-5849

NPI assigned

Jul 21, 2026

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

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1962322701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 HARRISON ST UNIT 649",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123551",
            "telephone_number": "530-574-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 HARRISON ST UNIT 649",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123551",
            "telephone_number": "530-574-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS-KELLISON",
        "first_name": "SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Heydari Boisen, DDS
• Jessica Bol
• Brendan Russell Boland
• Adriana Bolanos Juarez
• Elizabeth Bolanos-Hernandez
• Marcuz Bolden
• Naomi Marguerite Bolden, MD
• P'Shana Quoti Bolden, LCSW
• Reginald Bolden
• Valerie Ann Bolden

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, 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 Jul 21, 2026; 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.