MRS. BONITA GAYLON JUROE (NPI# 1538220181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538220181 |
Entity Type | Individual |
Full Name | MRS. BONITA GAYLON JUROE |
Other Name | BONITA BUZZELL |
Credential | MFT LCPC |
Practice Address |
160 Heritage Way Kalispell MT 59901 |
Mailing Address |
Po Box 5356 160 Heritage Way Kalispell MT 59901 |
Practice Telephone | 4067554495 |
Mailing Telephone | 4067554495 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101Y00000X | Counselor | 895LCPC | MT | Behavioral Health & Social Service Providers |
X | 106H00000X | Marriage & Family Therapist | 27880MFT | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | BLUE CROSS BLUE SHIELD PI | 744283 | 01 |
Street Address |
160 HERITAGE WAY |
City | KALISPELL |
State | MT |
Zip Code | 59901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720089675 | John A Schvaneveldt | Otolaryngology | 160 Heritage Way, Kalispell, MT 59901-3161 | 2005-08-02 |
1700258019 | Dustin Spillman | Audiologist | 160 Heritage Way, Ste 201, Kalispell, MT 59901-3161 | 2015-10-26 |
1780065680 | Hannah Claire Meeker Sims | Audiologist | 160 Heritage Way, Suite 201, Kalispell, MT 59901-3161 | 2015-06-16 |
1194138974 | Grace Caplan | Dietitian, Registered | 160 Heritage Way, Suite 102, Kalispell, MT 59901-3161 | 2014-06-09 |
1376822379 | Andrea Meiers | Physician Assistant | 160 Heritage Way, Suite 202, Kalispell, MT 59901-3161 | 2011-08-08 |
1013201060 | Lynette Marie Beauclair | Speech-Language Pathologist | 160 Heritage Way, Kalispell, MT 59901-3161 | 2011-06-07 |
1457653347 | Katherine Flass | Physician Assistant | 160 Heritage Way, Suite 202, Kalispell, MT 59901-3161 | 2010-11-26 |
1881996866 | Lorri L Hustwaite | Technician/Technologist | 160 Heritage Way, Kalispell, MT 59901-3101 | 2010-11-24 |
1598921926 | Heather Bruner | Technician/Technologist | 160 Heritage Way, Kalispell, MT 59901-3161 | 2008-08-05 |
1477719755 | August Lawrence Stein | Ophthalmology | 160 Heritage Way, Kalispell, MT 59901-3161 | 2008-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
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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 |
---|---|---|---|---|
1891309217 | Felicia Caflin | Counselor | 131b Indian Trail Rd, Kalispell, MT 59901-2630 | 2020-09-02 |
1003292632 | Vicki Lynn Kimball | Counselor | 249 E Center St, Suite 301, Kalispell, MT 59901-4596 | 2015-08-05 |
1386841369 | Cindy V Tadday | Counselor | 395 1st Ave En, Kalispell, MT 59901-3972 | 2007-07-02 |
1447300249 | Ruth Jane Senter | Counselor | 286 5th Ave En, Kalispell, MT 59901 | 2007-01-12 |
1790861862 | Alicia Jean Abdallah | Counselor | 300 N Somers Rd, Kalispell, MT 59901-8031 | 2006-10-31 |
1619986056 | Colton Bragg Hackley | Counselor | 20 3rd St E, Kalispell, MT 59901-4573 | 2006-08-05 |
1063989275 | Pamela Beatrice Liccardi | Counselor | 285 2nd Avenue West N, Kalispell, MT 59901-3910 | 2018-10-25 |
1750631370 | Carrie Thiel | Counselor | 17 2nd St E, Ste. 208, Kalispell, MT 59901-6107 | 2012-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720601701 | Marie Christine Pettit | Counselor | 700 Sw Higgins Ave Ste 107, Missoula, MT 59803-1489 | 2020-05-25 |
1528619632 | Hope Counseling & Consulting Pllc | Counselor | 204 N Kendrick Ave Ste 201, Glendive, MT 59330-1700 | 2019-09-20 |
1760031918 | New Awareness Counseling Center Professional LLC | Counselor | 2806 Tradewinds Way, Thompson Falls, MT 59873 | 2019-09-10 |
1811557424 | Michael Cory Mestas | Counselor | 324 East Main St., Manhattan, MT 59741 | 2019-06-17 |
1447724083 | Allison Gidley | Counselor | 124 S Main St Ofc 213, Livingston, MT 59047-2664 | 2019-01-16 |
1992280416 | Astghik Iknatian | Counselor | 8540 Sail Fish Dr, Billings, MT 59106-4615 | 2018-10-01 |
1821571100 | Chinook Horses | Counselor | 481 S 56th St W, Billings, MT 59106-2855 | 2018-09-12 |
1205313806 | Advanced Counseling Bozeman | Counselor | 300 N Willson Ave Ste 3005-10, Bozeman, MT 59715-3537 | 2018-07-26 |
1659858629 | Jennie Lynn Stanley | Counselor | 416 W Mendenhall St Unit C, Bozeman, MT 59715-3449 | 2018-07-23 |
1306339379 | Robin Lynn Treptow | Counselor | 1601 2nd Ave N Ste 623, Great Falls, MT 59401-3259 | 2018-06-13 |
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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.