Alexander Stavros Bony

Individual provider Active NPI Counselor · Mariposa, CA

NPI 1154983187 · NPPES record last updated Aug 11, 2020

Key facts

NPI
1154983187
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
5320 Highway 49 N Ste 4
Mariposa, CA 95338-9588
Phone
(559) 683-2084
Fax
(209) 317-4020
NPI assigned
Jun 29, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Mental Health Current
since Aug 16, 2020
Accepting new patients
Compass Family Counseling Services Past
since Aug 16, 2020
Accepting new patients

Locations

40680 Highway 41
Ste D
Oakhurst, CA 93644
Phone (559) 267-3552

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Counselor 101Y00000X CA Yes

Addresses

Primary practice location

5320 Highway 49 N Ste 4
Mariposa, CA 95338-9588

Mailing address

40680 Highway 41 Ste D
Oakhurst, CA 93644-9657
Phone (559) 667-2101

Other practice location 1

40680 Highway 41 Ste D
Oakhurst, CA 93644-9657
Phone (559) 667-2101

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Fresno Direct

Other providers in Mariposa, CA

All providers in Mariposa, CA · Counselor in California

Sources for this page

Verify at the official NPI Registry.