Bonnie Kuo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008970 Issued in VA

Practice address

8389 Reagan Dr
King George, VA 22485-7149

Phone

(804) 432-8727

NPI assigned

Apr 17, 2018

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waves Clinical Services, PLLC

  • Professional Counselor
  • King George, VA
  • NPI 1720748718
  NPD
• Parkhurst Associates MHS, Inc.

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1558625269
  NPD (past)

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1083101828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13175 MARINA WAY APT 604",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911285",
            "telephone_number": "714-244-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8389 REAGAN DR",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224857149",
            "telephone_number": "804-432-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DC",
            "license": "PRC15021",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC15021",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15021",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King George Pharmacy, Inc.
• King George Pharmacy, Inc.
• Brooke Leilani King
• Paul Clifford Kitchin III, DDS
• Faye Krause, RDN
• Amanda Laboy
• Yolanda Lane, LPC
• Mitzi Le, FNP-C, ENP-C
• Lemons N Bananas Nutrition
• Sean Lipson, LPTA

• Professional Counselor in King George, VA
• Providers in King George, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.