Bonnie D Webster, MS
Individual provider Active NPI Mental Health Counselor · Mountainair, NM
NPI 1013356609 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1013356609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 222 W Broadway
Mountainair, NM 87036 - Phone
- (505) 847-2320
- Fax
- (505) 847-2995
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-CTL0212501 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Wellness, LLC | Professional | Current |
Accepting new patients |
| Counseling World, LLC | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | T-CTL0212501 | NM | |
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
222 W Broadway
Mountainair, NM 87036
Mailing address
2960 Rodeo Park Dr. W
Santa Fe, NM 87505
Phone (505) 986-9633
Other practice location 1
1600 San Pedro Dr NE
Albuquerque, NM 87110-6734
Phone (505) 404-0717
Other practice location 2
804 West Girard Ave
Moriarty, NM 87035
Phone (505) 328-4504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103356609 | Medicaid | NM |
Other providers in Mountainair, NM
- Yvonne Nunez
- Presbyterian Medical Services
- Frances Roggen
- Sunrise Clinics
- Sunshine Wellness, LLC
- Kathleen Alexandra West
All providers in Mountainair, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.