Allison D Bonifay, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2836 Issued in OR

Practice address

32 NE 11TH Ave
Portland, OR 97232-3001

Phone

(503) 542-7635

NPI assigned

Sep 27, 2010

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NW Anxiety Institute, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1043649080
  NPD Authorized official

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1174832000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NE 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323001",
            "telephone_number": "503-542-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NE 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323001",
            "telephone_number": "503-542-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 SW Morrison St",
            "address_2": "Suite 619",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052234",
            "country_code": "US",
            "telephone_number": "503-679-9435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONIFAY",
        "first_name": "ALLISON",
        "middle_name": "D",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Paschal Bonham, PA
• Mary Lou Bonham, BSN, MFT
• Erica Leah Boni
• Lelia Boniadi, OTR/L
• Ashley Bonifacio
• Amy Grace Bonilla
• Arielle Bonilla
• Brenda Bonilla
• Kathleen Mulloy Bonilla, M.ED.
• Tony Leonard Bonillo, R.PH.

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.