Bonnie Jean Mitchell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC9728 Issued in CA

Practice address

1010 Turquoise St Ste 102
San Diego, CA 92109-1269

Phone

(303) 501-3400

NPI assigned

Oct 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1962979997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 TURQUOISE ST STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091269",
            "telephone_number": "303-501-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 TURQUOISE ST STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091269",
            "telephone_number": "303-501-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 S El Camino Real Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920546209",
            "country_code": "US",
            "telephone_number": "760-290-8170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9760 Birch Canyon Pl",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921261076",
            "country_code": "US",
            "telephone_number": "303-501-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 W Coolidge St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850132718",
            "country_code": "US",
            "telephone_number": "602-248-0550",
            "fax_number": "602-248-0557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19401 N Cave Creek Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850241825",
            "country_code": "US",
            "telephone_number": "602-996-0099",
            "fax_number": "602-996-1915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4136 N 75th Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850333100",
            "country_code": "US",
            "telephone_number": "623-247-1234",
            "fax_number": "623-247-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "16844",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC9728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisha Mistry
• Ketan Jagjivan Mistry
• Loretta I. Mitch-Lynn, N.P.
• Alexis Mitchell
• Bobby Mitchell
• Brianna Noel Tipton Mitchell, MS, CCC-SLP
• Brittany Andrea Mitchell
• Cheyenne Brooke Mitchell
• D'Naya Renay Mitchell
• Dale R. Mitchell, M.D.

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, 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 Jun 4, 2024; 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.