Individual provider Active NPI

Dwayne Alex Bonamy, LMHC, CAP

  • Addiction (Substance Use Disorder) Counselor
  • Coral Springs, FL
National Provider Identifier
1073722401
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2054 Issued in FL
Practice address
3275 NW 99TH Way
Coral Springs, FL 33065-4024
Phone
(954) 341-3925
NPI assigned
May 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2054 FL Primary
Mental Health Counselor 101YM0800X MH7779 FL

Addresses

Primary practice location

3275 NW 99TH Way
Coral Springs, FL 33065-4024

Mailing address

4624 NW 30TH St
Coconut Creek, FL 33063-5912
Phone (954) 973-9352

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
MH7779FLMDMental Health Counselor
2054FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073722401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 NW 30TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635912",
            "telephone_number": "954-973-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 NW 99TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654024",
            "telephone_number": "954-341-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAMY",
        "first_name": "DWAYNE",
        "middle_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2054",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

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.