Individual provider Active NPI

Taria Bonaparte, MA

  • Professional Counselor
  • Clayton, NC
National Provider Identifier
1063820348
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10801 Issued in NC
Practice address
505 E Main St
Clayton, NC 27520-2621
Phone
(919) 727-8090
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10801 NC Primary
Professional Counselor 101YP2500X A10801 NC
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

505 E Main St
Clayton, NC 27520-2621

Mailing address

505 E Main St RM 204
Clayton, NC 27520-2621
Phone (919) 727-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240805001079 NC Practitioner - Mental Health Counselor 5890232169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

505 E Main St
Clayton, NC 27520-2621
Phone (919) 375-0740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A10801NCMDProfessional Counselor
10801NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Counseling Services PLLC Single Specialty CurrentSince May 23, 2024 Accepting new patients
Mindful Solutions: Therapy and Consulting Services, PLLC Professional CurrentSince May 23, 2024 Accepting new patients

Locations

505 E Main St
Clayton, NC 27520
Phone (919) 375-0740

505 E Main St
Rm 204
Clayton, NC 27520

201 S Brightleaf Blvd
Ste 4
Smithfield, NC 27577
Phone (757) 613-9629

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1063820348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST RM 204",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202621",
            "telephone_number": "919-727-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202621",
            "telephone_number": "919-727-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAPARTE",
        "first_name": "TARIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10801",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10801",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.