Individual provider Active NPI

Bonnie Iler, M.A. - LPCC

  • Professional Counselor
  • Bowling Green, OH
National Provider Identifier
1194120444
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800627 Issued in OH
Practice address
1010 N Prospect St
Bowling Green, OH 43402-1335
Phone
(419) 352-5387
NPI assigned
Oct 29, 2014
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1400532 OH
Professional Counselor 101YP2500X E.1800627 OH Primary

Addresses

Primary practice location

1010 N Prospect St
Bowling Green, OH 43402-1335

Mailing address

13118 Fullmer Rd
Defiance, OH 43512-8859
Phone (910) 512-9872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240508001295 OH Practitioner - Mental Health Counselor 7911348917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Behavioral Health Services LLCGroup PAC ID 2264502541, 16 clinicians

Practice addresses (Care Compare)

2770 Centennial Rd
Toledo, OH 43617-1829
Phone 4197940567122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1400532OHMDMental Health Counselor
E.1800627OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Health Services LLC Professional CurrentSince Mar 24, 2024 Accepting new patients

Locations

2770 Centennial Rd
Toledo, OH 43617
Phone (419) 794-0567

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1194120444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 FULLMER RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435128859",
            "telephone_number": "910-512-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N PROSPECT ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021335",
            "telephone_number": "419-352-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILER",
        "first_name": "BONNIE",
        "credential": "M.A. -  LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1400532",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.