Individual provider Active NPI

Bonnie Slater, LPC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1174842264
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC11789 Issued in AZ
Practice address
7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113
Phone
(480) 322-0278
Fax
(602) 870-7472
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X 2281558 AZ
Professional Counselor 101YP2500X LPC11789 AZ Primary

Addresses

Primary practice location

7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113

Mailing address

7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113
Phone (480) 322-0278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240104000231 AZ Practitioner - Mental Health Counselor 0547611584 Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7047 E Greenway Pkwy
Suite 250
Scottsdale, AZ 85254-8113
Phone (480) 322-0278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC11789AZMDProfessional Counselor
2281558AZMDChild Mental Illness Respite Care

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1174842264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548113",
            "telephone_number": "480-322-0278",
            "fax_number": "602-870-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548113",
            "telephone_number": "480-322-0278",
            "fax_number": "602-870-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "BONNIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "2281558",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC11789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.