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BONNIE RAE
NPI 1154674422
Marriage & Family Therapist in Los Angeles, CA

Active since October 23, 2012
4620 HOLLYWOOD BLVD, LOS ANGELES, CA 90027(310) 612-2709 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonnie Rae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE RAE (NPI 1154674422) is an individual marriage & family therapist in Los Angeles, California, licensed in California (91089) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1154674422
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBONNIE RAE
Location Address4620 HOLLYWOOD BLVDLos Angeles, CA 90027-5408
Mailing Address4620 Hollywood BlvdLos Angeles, CA 90027-5408 · (331) 061-2270
Phone(310) 612-2709
Sole ProprietorYes
Enumeration DateOctober 23, 2012
Last NPPES UpdateNovember 7, 2016
✔ NPI 1154674422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 91089
Definition
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.
4620 HOLLYWOOD BLVD, Los Angeles, CA 90027
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Other Names 1

Former Name (1)Bonnie Smalley Lmft, Ma

Other Identifiers 1

Medicaid01261511CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AUTUMN GAEA WOODS M.A., AMFT
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (818) 245-5413
MRS. CLARISSA LYNN GREGUSKA LPCC, ATR
Counselor (Professional)
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (262) 441-0686
JEFFREY T BORNSTEIN MS, LPCC
Counselor (Mental Health)
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 362-6555
YOBIEL DANIEL KELATI MSW, ACSW
Social Worker (Clinical)
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 451-2746
ALEXANDRA BRODSKY
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (213) 394-0090
JULIANA FRIEDMAN AMFT
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (424) 252-1125
SARAH JANE CELLA KUTRUMBOS LMFT
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (203) 216-4020
CLEAR MIND FULL HEART, A LICENSED CLINICAL SOCIAL WORK CORPORATION
Social Worker (Clinical)
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 213-9900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Rae's NPI number?

The NPI number for Bonnie Rae is 1154674422. It was assigned to this individual provider in the NPPES registry on October 23, 2012. The provider is also known as Bonnie Smalley Lmft, Ma.

Where is Bonnie Rae located?

Bonnie Rae practices at 4620 Hollywood Blvd, Los Angeles, CA 90027. The listed phone number is (310) 612-2709.

What is Bonnie Rae's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Bonnie Rae was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.