Penny S McCallister-Von Bonin, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CCMH0212541 Issued in NM

Practice address

2440 Louisiana Blvd NE Ste 300
Albuquerque, NM 87110-4394

Phone

(505) 302-1660

NPI assigned

Jul 31, 2020

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

Enrolled in NM

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Enhancement Center, P.C.Group PAC ID 0648297499, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Enhancement Center, P.C.

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1235237801

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1063022457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SOLAR RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075744",
            "telephone_number": "505-321-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 LOUISIANA BLVD NE STE 300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104394",
            "telephone_number": "505-302-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER-VON BONIN",
        "first_name": "PENNY",
        "middle_name": "S",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0212541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toterria McCain
• McCall Wellness LLC
• Graziella A McCall, DPT
• Marlina Charisse McCall, LPCC
• Rita Troy McCallan, PMHNP
• Kate Woodward McCalmont
• Marc McCamey
• Maureen McCamley, MD PHD
• Rebekah Elizabeth McCann, MD
• Colman Carroll McCanna

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.