BONNIE J HICKENBOTHAM (NPI# 1023626934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023626934 |
| Entity Type | Individual |
| Full Name | BONNIE J HICKENBOTHAM |
| Practice Address |
999 164th Ave Ne Bellevue WA 98008-3518 |
| Practice Telephone | 4255862338 |
| Mailing Telephone | 4255862338 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
999 164TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98008-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356496335 | Youth Eastside Services | Community/Behavioral Health | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2007-01-23 |
| 1730795535 | Bridgette Graham | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-09-17 |
| 1851904262 | Amy Nance | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-08-25 |
| 1558974238 | Sydney Miller | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-08-24 |
| 1114538576 | David Wakukawa | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-08-11 |
| 1851900526 | Caitlin Elizabeth Mackintosh | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-28 |
| 1750990982 | Bushra Qayyum Qureshi | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-23 |
| 1043828098 | Maria Rosa Duarte | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-15 |
| 1518585322 | Stacy Mears | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-08 |
| 1114546595 | Melanie Farah Sherzad | Social Worker | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528540416 | Rodica Belindean | Nurse's Aide | 3022 167th Ave Ne, Bellevue, WA 98008 | 2018-09-06 |
| 1831600030 | Daily Nutrition for Life LLC | Nutritionist | 15600 Ne 8th St Ste B1-707, Bellevue, WA 98008 | 2017-10-16 |
| 1871003913 | Sara Ann Glatz | Massage Therapist | 51 157th Ave Se, Bellevue, WA 98008 | 2017-10-03 |
| 1336555630 | Elizabeth Cheri Anne Smith | Dentist | 1223 158th Ave Se, Bellevue, WA 98008 | 2014-07-08 |
| 1407269731 | Akiko Kinney | Counselor | 16301 Ne 8th St., Bellevue, WA 98008 | 2014-06-04 |
| 1184042996 | Sara Francine York | Counselor | 16301 Ne 8th St. Ste 150, Puget Sound Child and Family Therapy, Bellevue, WA 98008 | 2014-03-31 |
| 1861819906 | Kimberly Song Truong | Acupuncturist | 15650 Ne 24th Street, Suite C1, Bellevue, WA 98008 | 2014-03-26 |
| 1336414614 | Alison Butler | Massage Therapist | 50 157th Ave Se, Bellevue, WA 98008 | 2012-03-20 |
| 1184998593 | Zynergy Chiropractic | Chiropractor | 15616 Bel-red Rd, Bellevue, WA 98008 | 2012-03-02 |
| 1043516149 | Ricardo Fernandez | Massage Therapist | 16301 Ne8th St Suite280, Bellevue, WA 98008 | 2011-02-07 |
| Find all providers in zip 98008 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447736640 | Deborah Runke | Marriage & Family Therapist | 1160 140th Ave Ne Ste E&f, Bellevue, WA 98005-2978 | 2018-07-11 |
| 1700313665 | Kristin Nicole Mendoza | Marriage & Family Therapist | 13646 Ne 24th St, Bellevue, WA 98005-1859 | 2017-05-22 |
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1306295860 | Linda Dulan | Marriage & Family Therapist | 4861 167th Ave Se, Bellevue, WA 98006-5897 | 2016-06-06 |
| 1063872844 | Sophia Lust | Marriage & Family Therapist | 11711 Se 8th St, Suite 315, Bellevue, WA 98005-3543 | 2016-03-07 |
| 1902295777 | Christina Steere | Marriage & Family Therapist | 915 118th Ave Se Ste 285, Bellevue, WA 98005-3800 | 2015-01-16 |
| 1093131070 | Tina Marie Ensminger | Marriage & Family Therapist | 1400 112th Ave Se Ste 202, Bellevue, WA 98004-6901 | 2014-03-13 |
| 1790113504 | Jennifer Marie Peters | Marriage & Family Therapist | 16130 Se Eastgate Way Apt D105, Bellevue, WA 98008-5474 | 2013-10-15 |
| 1639510001 | Sarah Howbert | Marriage & Family Therapist | 12740 Ne 30th St, Bellevue, WA 98005-1606 | 2013-07-12 |
| 1699118976 | Angela L. Wyatt | Marriage & Family Therapist | 1406 Fort Crook Rd S Ste 401, Bellevue, NE 68005-2980 | 2013-04-16 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.