Suzanne Jean Bonaventura-Krischke, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99025239A Issued in IN

Practice address

250 N Main St
Crown Point, IN 46307-3252

Phone

(219) 663-6353

Fax

(219) 663-6155

NPI assigned

Aug 1, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1003817032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073278",
            "telephone_number": "219-663-6353",
            "fax_number": "219-663-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073252",
            "telephone_number": "219-663-6353",
            "fax_number": "219-663-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVENTURA-KRISCHKE",
        "first_name": "SUZANNE",
        "middle_name": "JEAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99025239A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33004882A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200514270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Bolden, MS.
• Ketti R Boller, D.D.S, M.S
• Bret A Bologna, DDS
• Michelle R Bonadies, LCSW
• Artricia Desiree Bonaparte
• Neeru Bose, M.D
• David Boss, DPT
• Kirsten Bovee, OTR/L
• Angela Bowden-Williams, MOTR/L
• Gregory Scott Bowers, PHARMD

• Mental Health Counselor in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.