Dominique Bonilla, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2606022 Issued in AR

Practice address

2113 Little Flock Dr
Little Flock, AR 72756-7042

Phone

(479) 621-0385

NPI assigned

Jul 6, 2026

Last updated

Jul 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children & Family Advocacy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rogers, AR
  • NPI 1609742949
  NPD (past)
• Restoration Ministries Inc.

  dba Children's Advocacy Center of Benton County

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1235218884
  NPD (past)

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1023935558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 LITTLE FLOCK DR",
            "city": "LITTLE FLOCK",
            "state": "AR",
            "postal_code": "727567042",
            "telephone_number": "479-621-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 LITTLE FLOCK DR",
            "city": "LITTLE FLOCK",
            "state": "AR",
            "postal_code": "727567042",
            "telephone_number": "479-621-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "DOMINIQUE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2606022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Brooke Brasel
• Camryn Elizabeth Carr
• Kimberly Rousseau Clendennen
• Sarra Jean Corona
• Moon Cusimano

• Mental Health Counselor in Little Flock, AR
• Providers in Little Flock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.