Active NPI
William Earl Bonney, PHD
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1295906089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH0001106
- Practice address
- 1936 W Dr Martin Luther King Jr Blvd
Suite 103
Tampa, FL 33607 - Phone
- (813) 872-8034
- Fax
- (813) 870-2324
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA0004919 | FL | |
| Mental Health Counselor | 101YM0800X | MH0001106 | FL | Primary |
Addresses
Primary practice location
1936 W Dr Martin Luther King Jr Blvd
Suite 103
Tampa, FL 33607
Mailing address
1936 W Dr MLK Jr Blvd
Suite 103
Tampa, FL 33607
Phone (813) 872-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH0001106 | FL | MD | Mental Health Counselor |
| MA0004919 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1295906089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 W DR MLK JR BLVD",
"address_2": "SUITE 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-872-8034",
"fax_number": "813-870-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-872-8034",
"fax_number": "813-870-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNEY",
"first_name": "WILLIAM",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0004919",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0001106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.