Individual provider Active NPI

Emily E. Bon, MA, LPCC

  • Counselor
  • Barberton, OH
National Provider Identifier
1033658992
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1901033 Issued in OH
Practice address
524 W Park Ave Ste 1
Barberton, OH 44203-2587
Phone
(330) 753-1096
Fax
(330) 753-1278
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1500828 OH
Mental Health Counselor 101YM0800X 1500828 OH
Counselor 101Y00000X E.1901033 OH Primary

Addresses

Primary practice location

524 W Park Ave Ste 1
Barberton, OH 44203-2587

Mailing address

524 W Park Ave Ste 1
Barberton, OH 44203-2587
Phone (330) 753-1096

Other practice location 1

1763 St. Rt 60
Suite 120
Ashland, OH 44805
Phone (419) 289-4825

Other practice location 2

18 N Forge St
Akron, OH 44304-1317
Phone (330) 762-0591

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240613002382 OH Practitioner - Mental Health Counselor 6406399815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.1901033OHMDCounselor
1500828OHMDMental Health Counselor
C.1500828OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance & Family Solutions CurrentSince Apr 28, 2024 Accepting new patients
Akron Children'S Hospital Current Accepting new patients

Locations

87 N Canton Rd
Akron, OH 44305
Phone (330) 733-7993

18 N Forge St
Akron, OH 44304
Phone (330) 762-0591

524 W Park Ave
Ste 1
Barberton, OH 44203
Phone (330) 753-1096

Interoperability endpoints

  • Direct secure messaging: ebon121963@direct.chmca.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1033658992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W PARK AVE STE 1",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032587",
            "telephone_number": "330-753-1096",
            "fax_number": "330-753-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W PARK AVE STE 1",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032587",
            "telephone_number": "330-753-1096",
            "fax_number": "330-753-1278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1763 St. Rt 60",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "44805",
            "country_code": "US",
            "telephone_number": "419-289-4825",
            "fax_number": "419-289-4826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 N Forge St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041317",
            "country_code": "US",
            "telephone_number": "330-762-0591",
            "fax_number": "330-762-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BON",
        "first_name": "EMILY",
        "middle_name": "E.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500828",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1500828",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1901033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.