Individual provider Active NPI

Lan L Bonno Lebozec, LPC.,CRC.,CFAE

  • Addiction (Substance Use Disorder) Counselor
  • Columbia, SC
National Provider Identifier
1073696316
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
25349 Issued in SC
Practice address
2015 Marion St
Adult Clinic Services
Columbia, SC 29201-2113
Phone
(803) 898-0276
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25349 SC Primary
Professional Counselor 101YP2500X 3547 NC

Addresses

Primary practice location

2015 Marion St
Adult Clinic Services
Columbia, SC 29201-2113

Mailing address

237 King Charles Rd
Columbia, SC 29209-2241
Phone (803) 776-3767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25349SCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073696316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 KING CHARLES RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092241",
            "telephone_number": "803-776-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MARION ST",
            "address_2": "ADULT CLINIC SERVICES",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012113",
            "telephone_number": "803-898-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNO LEBOZEC",
        "first_name": "LAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC.,CRC.,CFAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "25349",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.