Anita Bonvillain, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5968 Issued in LA

Practice address

121 N Terrebonne Dr
Gray, LA 70359-6401

Phone

(985) 791-8551

NPI assigned

Dec 1, 2015

Last updated

Feb 8, 2020By 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

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

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.

• Start Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houma, LA
  • NPI 1700156866
  Medicare reassignment NPD
• Start Corporation

  dba Start Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
  • NPI 1346712957
  NPD
• Bayou Oaks Health Ervices

  • Community/Behavioral Health Agency
  • Thibodaux, LA
  • NPI 1801260914
  NPD (past)

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1235503368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N TERREBONNE DR",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596401",
            "telephone_number": "985-791-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N TERREBONNE DR",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596401",
            "telephone_number": "985-791-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Laura Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703012988",
            "country_code": "US",
            "telephone_number": "985-446-4114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703012008",
            "country_code": "US",
            "telephone_number": "985-791-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONVILLAIN",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5968",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Gray, LA
• Providers in Gray, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.