MAYRA ELIZABETH BONILLA
NPI 1376071381
Marriage & Family Therapist in San Diego, CA

Q: What is Mayra Bonilla's NPI number?

The NPI number for Mayra Bonilla is 1376071381. It was assigned to this individual provider in the NPPES registry on June 3, 2017.

Q: What is Mayra Bonilla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mayra Bonilla was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since June 03, 2017

3420 KENYON ST, SAN DIEGO, CA 92110(619) 221-6596 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Dec 12, 2023, Oct 13, 2022 and 4 more (7 updates tracked since 2017).

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About Mayra Elizabeth Bonilla NPPES

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

MAYRA ELIZABETH BONILLA (NPI 1376071381) is an individual marriage & family therapist in San Diego, California, licensed in California (154424) and active in the NPI registry since June 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376071381

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMAYRA ELIZABETH BONILLA

Location Address3420 KENYON STSan Diego, CA 92110-5001

Mailing Address762 Cypress StSan Dimas, CA 91773-3505

Phone(619) 221-6596

Sole ProprietorNo

Enumeration DateJune 3, 2017

Last NPPES UpdateOctober 13, 20257 updates tracked since enumeration

NPPES CertifiedOctober 13, 2025

✔ NPI 1376071381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 154424

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.

Also ListedRehabilitation PractitionerTaxonomy 225400000X

3420 KENYON ST, San Diego, CA 92110

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Secondary Practice Locations 2

Location 14063 Whittier Blvd Ste 202Los Angeles, CA 90023-2536 · Phone (323) 268-2107

Location 2762 Cypress StSan Dimas, CA 91773-3505 · Phone (909) 599-1227

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.

CHANNING GREDVIG LCSW

Social Worker (Clinical)