Nathaniel Bonovitz, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC Issued in ID

Practice address

1151 E Iron Eagle Dr
Eagle, ID 83616-6854

Phone

(484) 557-5672

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Nate Bonovitz Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Eagle, ID
  • NPI 1508405945
  NPD
• Center for Christian Therapy, Inc.

  • Clinical Psychologist
  • Boise, ID
  • NPI 1629107321
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1154586550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056033",
            "telephone_number": "208-343-0441",
            "fax_number": "208-343-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E IRON EAGLE DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166854",
            "telephone_number": "484-557-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOVITZ",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "4869",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC NUMBER",
            "identifier": "LPC #3820",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boise River Birth Center and Womens Health
• Boise Shoulder Clinic, PA
• Allison Andrews Boldridge, P.T.
• Nicholas Bonfrisco
• Cody Johanna Bonine, FNP
• Raydell Booth, PH.D.
• Ella Boothby
• Corinne Patricia Bottrell, PH.D., N.D.
• Timothy L Bowers, PSYD
• Harry R Boyd III, MD

• Mental Health Counselor in Eagle, ID
• Providers in Eagle, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.