Bonnie Lynn Mann, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2308022 Issued in AR

Practice address

640 S 6TH St Ste a
Arkadelphia, AR 71923-6048

Phone

(870) 246-4123

NPI assigned

Aug 10, 2020

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ouachita Regional Counseling & Mental Health Center, Inc.

  dba Community Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malvern, AR
  • NPI 1972756419
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1295346757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WELLNESS WAY",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136478",
            "telephone_number": "501-624-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S 6TH ST STE A",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719236048",
            "telephone_number": "870-246-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "BONNIE",
        "middle_name": "LYNN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2308022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Luster, MHPP
• Will Maass, MS, ATC, LAT
• Rachel Deann Mackey, AT
• Maurie E. Maestas, MHP
• Adam Nicholas Maisen, LPC
• Kathy Lashunda Marks
• Benjamin Laurence Croft Martin, MD
• Matthew Martin
• Tamara Martin
• Lluvia Martinez Adame

• Mental Health Counselor in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.