BONITA RUSSELL
NPI 1417474404
Marriage & Family Therapist in Long Beach, CA

Active since August 29, 2017
5150 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804(562) 490-7600(562) 490-7601 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 15, 2021, Jul 19, 2018 and 1 more (4 updates tracked since 2017).

About Bonita Russell NPPES

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

BONITA RUSSELL (NPI 1417474404) is an individual marriage & family therapist in Long Beach, California, licensed in California (126025) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1417474404
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBONITA RUSSELL
Location Address5150 E PACIFIC COAST HWY STE 100Long Beach, CA 90804
Mailing Address5150 E Pacific Coast Hwy Ste 100Long Beach, CA 90804-3394 · (562) 490-7600 · Fax (562) 490-7601
Fax(562) 490-7601
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1417474404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 126025 Licensed in CA · 93863
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.
5150 E PACIFIC COAST HWY STE 100, Long Beach, CA 90804

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.

Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Social Worker (Clinical)
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804

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 Bonita Russell's NPI number?

The NPI number for Bonita Russell is 1417474404. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Bonita Russell located?

Bonita Russell practices at 5150 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804. The listed phone number is (562) 490-7600.

What is Bonita Russell'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 Bonita Russell was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.