Active NPI
Bonni J. Stephenson, M.C., L.P.C.
- Mental Health Counselor
- Mesa, AZ
National Provider Identifier
1104966910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-11788
- Practice address
- 1220 S Alma School Rd
Suite 109
Mesa, AZ 85210-2068 - Phone
- (480) 834-2700
- Fax
- (480) 827-1551
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-11788 | AZ | Primary |
Addresses
Primary practice location
1220 S Alma School Rd
Suite 109
Mesa, AZ 85210-2068
Mailing address
7531 E Jackrabbit Rd
Scottsdale, AZ 85250-6435
Phone (480) 688-3582
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-11788 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalina Behavioral Health Services | Mental Health | Past | Accepting new patients |
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": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104966910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7531 E JACKRABBIT RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852506435",
"telephone_number": "480-688-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 S ALMA SCHOOL RD",
"address_2": "SUITE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852102068",
"telephone_number": "480-834-2700",
"fax_number": "480-827-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "BONNI",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "M.C., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-11788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.