Bonnie R Parish, LISW-W/BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0002726-SUPV

Practice address

2211 Arbor Blvd
Moraine, OH 45439-1521

Phone

(937) 222-9481

Fax

(937) 222-3710

NPI assigned

Jun 6, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Service AssociationGroup PAC ID 7618948423, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Service Association

  • Adult Mental Health Clinic/Center
  • Moraine, OH
  • NPI 1063442390
  Medicare reassignment Care Compare group Authorized official
• Wellspring

  • Mental Health Counselor
  • Springfield, OH
  • NPI 1003851411
  NPD (past)
• Wellspring

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, OH
  • NPI 1912262619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1003100207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ARBOR BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391521",
            "telephone_number": "937-222-9481",
            "fax_number": "937-222-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ARBOR BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391521",
            "telephone_number": "937-222-9481",
            "fax_number": "937-222-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "BONNIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LISW-W/BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0001482-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "I.0002726-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Owen
• Gregory Sheldon Pacleb
• Rebekah Marie Painter
• Arianna Simone Palmer, LSW
• Jordan Hallie Palmer
• Madisen Parker
• Ashley Marie Parrish-Lundeen
• Sean Parrott
• Emillie Partridge Smith, PA-C
• Valerie Peidous

• Clinical Social Worker in Moraine, OH
• Providers in Moraine, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.