Bonnie Mi Harris, LPCC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LPCC.0017373 Issued in CO

Practice address

10 Boulder Crescent St Ste 102
Colorado Springs, CO 80903-3350

Phone

(719) 633-8119

Fax

(719) 633-8213

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1053914135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13040 PINERY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809083434",
            "telephone_number": "719-685-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033350",
            "telephone_number": "719-633-8119",
            "fax_number": "719-633-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BONNIE",
        "middle_name": "MI",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "LPCC.0017373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bhobbitt44@msn.com",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Colorado Springs",
            "address_1": "10 Boulder Crescent St Ste 102",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809033350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Louise Harris
• Amy Lee Harris, M.D.
• Andrew Benjamin Harris, CNIM
• Ashlee Harris
• Ashley M Harris, REEGT, RPSGT, CNIM
• Carissa Harris
• Colleen Remien Harris, D.M.D.
• Danielle Harris
• Danielle Marie Harris, NP
• Daymein Michael Harris

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.