Active NPI
Bonnie Gibson Barnard-Lopez, LCSW-C
- Mental Health Counselor
- Rockville, MD
National Provider Identifier
1124150529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11561
- Practice address
- 3204 Tower Oaks Blvd
Suite 175
Rockville, MD 20852-4250 - Phone
- (301) 770-4880
- Fax
- (301) 770-0505
- NPI assigned
- Mar 12, 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 | 11561 | MD | Primary |
Addresses
Primary practice location
3204 Tower Oaks Blvd
Suite 175
Rockville, MD 20852-4250
Mailing address
3204 Tower Oaks Blvd
Suite 175
Rockville, MD 20852-4250
Phone (301) 770-4880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J3690001 | Other | DC | BLUE CROSS BLUE SHIELD ID |
| J3690001 | Other | MD | BLUE CROSS BLUE SHIELD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000945 | DC | Practitioner - Clinical Social Worker | 9830126101 | Practice locations: Rockville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3204 Tower Oaks Blvd
Suite 175
Rockville, MD 20852-4264
Phone (301) 770-4880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11561 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124150529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 TOWER OAKS BLVD",
"address_2": "SUITE 175",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524250",
"telephone_number": "301-770-4880",
"fax_number": "301-770-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 TOWER OAKS BLVD",
"address_2": "SUITE 175",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524250",
"telephone_number": "301-770-4880",
"fax_number": "301-770-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNARD-LOPEZ",
"first_name": "BONNIE",
"middle_name": "GIBSON",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "11561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "J3690001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "J3690001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.