=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689776338
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BONITA NEVILLE EKHARDT MFT & LEP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1326 H ST STE 1
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-5134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-327-5535
-----------------------------------------------------
Fax | 661-327-4099
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1326 H ST STE 1
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-5134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-327-5535
-----------------------------------------------------
Fax | 661-327-4099
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MFT 23448
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | LEP 1733
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------