SALLY A. BONKRUDE (NPI# 1609219351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609219351 |
| Entity Type | Individual |
| Full Name | SALLY A. BONKRUDE |
| Credential | LPC |
| Practice Address |
1447 Coyote Cir Black Hawk CO 80422-8705 |
| Practice Telephone | 3037079580 |
| Mailing Telephone | 3037079580 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4566 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1447 COYOTE CIR |
| City | BLACK HAWK |
| State | CO |
| Zip Code | 80422-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053863704 | Hi-tech Hearing | Hearing Instrument Specialist | 420 Gregory Street, Black Hawk, CO 80422 | 2016-10-28 |
| 1164759726 | Gilpin Ambulance Authority | Ambulance | 495 Apex Rd, Black Hawk, CO 80422 | 2009-11-03 |
| 1609022391 | Anna Einwiller | Massage Therapist | 972 Golden Gate Canyon Rd., Black Hawk, CO 80422 | 2008-08-13 |
| 1548320906 | Kuder Enterprise | Chiropractor | 135 Clear Creek St, Blackhawk, CO 80422 | 2006-12-08 |
| 1508970823 | Kim H Irving | Registered Nurse | 562 Gregory Street, Black Hawk, CO 80422 | 2006-08-17 |
| 1740213792 | Gilpin Ambulance Inc. | Ambulance | 416 Gregory St, Black Hawk, CO 80422 | 2006-07-09 |
| 1215240924 | Heather Kuder | Chiropractor | 135 Clear Creek Street, Black Hawk, CO 80422 | 2010-07-22 |
| 1629194410 | Carol Joan Holdcroft | Nurse Practitioner | 562 Gregory Street, Black Hawk, CO 80422 | 2007-03-22 |
| 1235292293 | Mountain Family Health Centers | Clinic/Center | 562 Gregory Street, Black Hawk, CO 80422 | 2006-12-19 |
| 1780650093 | Michael Paul Ellis | Family Medicine | 562 Gregory St, Black Hawk, CO 80422 | 2006-02-27 |
| Find all providers in zip 80422 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790923670 | Rena Susan Derezin | Counselor | 135 Clear Creek Street, Black Hawk, CO 80422-0418 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1619577228 | Barry Fowler | Counselor | 19649 W 92nd Dr Apt A, Arvada, CO 80007-8175 | 2020-11-01 |
| 1700486388 | Judy Lynn Austin | Counselor | 281 Gulch Rd, Durango, CO 81303-6452 | 2020-10-31 |
| 1912506536 | David Nasralla | Counselor | 422 Pagosa St Ste 9, Pagosa Springs, CO 81147-9955 | 2020-10-24 |
| 1134727308 | Bristlecone Family Counseling: Mental Health Counseling for Children & | Counselor | 700 Valley View Dr, Woodland Park, CO 80863-8370 | 2020-10-11 |
| 1043818230 | Carly Barone | Counselor | 9503 Castle Ridge Cir, Highlands Ranch, CO 80129-5700 | 2020-10-11 |
| 1629675160 | Allison Bratsch, Lpc, LLC | Counselor | 8791 Wolff Ct Ste 230, Westminster, CO 80031-3693 | 2020-10-07 |
| 1881291516 | Erin Michelle Lair | Counselor | 120 Kilgore St, Colorado Springs, CO 80911-2231 | 2020-10-06 |
| 1457968646 | Reginald A Moore | Counselor | 2878 W Riverwalk Cir Unit B, Littleton, CO 80123-8919 | 2020-09-30 |
| 1497362826 | Stacey Stafford | Counselor | 1511 W 124th Ave Ste 200, Westminster, CO 80234-1882 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BLACK HAWK |
| Zip Code | 80422 |
Please comment or provide details below to improve the information on SALLY A. BONKRUDE.
| 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.