Active NPI
G. Lynn Bonner, M.A. M.ED., C.E.D.S.
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1164510731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC1028
- Practice address
- 325 W. Franklin St.
Ste 117
Tucson, AZ 85701 - Phone
- (520) 620-1202
- Fax
- (520) 620-1320
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC1028 | AZ | Primary |
Addresses
Primary practice location
325 W. Franklin St.
Ste 117
Tucson, AZ 85701
Mailing address
325 W. Franklin St.
Ste 117
Tucson, AZ 85701
Phone (520) 620-1202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 895419 | Other | AZ | ACCESS NUMBER |
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 |
|---|---|---|---|
| CC1028 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1164510731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W. FRANKLIN ST.",
"address_2": "STE 117",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85701",
"telephone_number": "520-620-1202",
"fax_number": "520-620-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W. FRANKLIN ST.",
"address_2": "STE 117",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85701",
"telephone_number": "520-620-1202",
"fax_number": "520-620-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "G.",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.A. M.ED., C.E.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "CC1028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCESS NUMBER",
"identifier": "895419",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.