Individual provider Active NPI

Bonnie Ann Den Dooven, MC, LPC, CSAT

  • Professional Counselor
  • Surprise, AZ
National Provider Identifier
1073977070
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-15443 Issued in AZ
Practice address
15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104
Phone
(928) 231-2411
Fax
(928) 231-2411
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-15443 AZ Primary

Addresses

Primary practice location

15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104

Mailing address

50825 N 328TH Ave
Wickenburg, AZ 85390-3107
Phone (928) 231-2411

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
LPC-15443AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aztherapytok, LLC Professional CurrentSince Mar 5, 2023 Accepting new patients

Locations

15331 W Bell Rd
Ste 21219
Surprise, AZ 85374
Phone (623) 688-1279

Organizations & group practices 1

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1073977070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50825 N 328TH AVE",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853903107",
            "telephone_number": "928-231-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 212",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744104",
            "telephone_number": "928-231-2411",
            "fax_number": "928-231-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEN DOOVEN",
        "first_name": "BONNIE",
        "middle_name": "ANN",
        "credential": "MC, LPC, CSAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.