Individual provider Active NPI

Marci Danielle Bonner, M.ED., LMHC, MHC

  • Mental Health Counselor
  • Taunton, MA
National Provider Identifier
1194902486
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10632 Issued in MA
Practice address
819 County St Apt 67C
Taunton, MA 02780-3766
Phone
(401) 484-0218
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10632 MA Primary

Addresses

Primary practice location

819 County St Apt 67C
Taunton, MA 02780-3766

Mailing address

600 South St W Ste 4F
Raynham, MA 02767-5171
Phone (401) 484-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240828000787 MA Practitioner - Mental Health Counselor 1355880899 Practice locations: Raynham, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
10632MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heal As You Grow, LLC Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1194902486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOUTH ST W STE 4F",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675171",
            "telephone_number": "401-484-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 COUNTY ST APT 67C",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803766",
            "telephone_number": "401-484-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "MARCI",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LMHC, MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.