MRS. BONNIE L. ROBERSON (NPI# 1104958925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104958925 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE L. ROBERSON |
| Credential | M.S.C. |
| Practice Address |
2330 Glendale Ln Ste 100 Sacramento CA 95825-2454 |
| Mailing Address |
8145 Walnut Hills Way Fair Oaks CA 95628-2745 |
| Practice Telephone | 9166419595 |
| Mailing Telephone | 9169667261 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2330 GLENDALE LN STE 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356353593 | Carrie L Michaels | Marriage & Family Therapist | 2330 Glendale Ln, Ste 100, Sacramento, CA 95825-2454 | 2006-08-13 |
| 1356674113 | Cynthia Jean Hurn | Counselor | 2330 Glendale Ln, Ste 100, Sacramento, CA 95825-2455 | 2009-09-11 |
| 1205063377 | Stephanie Ann Lyons | Case Manager/Care Coordinator | 2330 Glendale Ln, Suite 100, Sacramento, CA 95825-2455 | 2009-06-16 |
| 1467635847 | Deserea B Reville | Social Worker | 2330 Glendale Ln, Suite # 100, Sacramento, CA 95825-2455 | 2007-12-09 |
| 1346438223 | Nicholas Lee Mcwilliams Mcgee | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2455 | 2007-10-04 |
| 1730305475 | Junko Kumagai | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-04-18 |
| 1528181138 | Paul Pacholski | Case Manager/Care Coordinator | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-04-09 |
| 1033239132 | Kerri Page | Counselor | 2330 Glendale Ln, Ste 100, Sacramento, CA 95825-2454 | 2007-03-30 |
| 1073630018 | Marco Zolow | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-03-23 |
| 1821122094 | Ka'misha K White | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
| 1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
| 1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
| 1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| 1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.