Bonnie B Routh, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007390 Issued in IL

Practice address

RR 3 Box 414
Lawrenceville, IL 62439-9499

Phone

(618) 943-3754

Fax

(618) 943-5766

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• County of Lawrence Health Department

  • Rural Health Clinic/Center
  • Lawrenceville, IL
  • NPI 1629132410
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1114077575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 414",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624399499",
            "telephone_number": "618-943-3754",
            "fax_number": "618-943-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 414",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624399499",
            "telephone_number": "618-943-3754",
            "fax_number": "618-943-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTH",
        "first_name": "BONNIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376006178008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeremy J Sanders, D.C.
• Lisa Marie Sanders, DC

• Professional Counselor in Lawrenceville, IL
• Providers in Lawrenceville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.