Active NPI
Bonnie Marie Marrow, LPC
- Professional Counselor
- Ashland, VA
National Provider Identifier
1316088131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004011
- Practice address
- 906 Thompson St
Ashland, VA 23005-1128 - Phone
- (727) 205-2077
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004011 | VA | Primary |
Addresses
Primary practice location
906 Thompson St
Ashland, VA 23005-1128
Mailing address
10299 Woodman Rd
Glen Allen, VA 23060-4419
Phone (804) 727-8500
Other practice location 1
10299 Woodman Rd
Glen Allen, VA 23060-4419
Phone (804) 727-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945131 | Other | VA | VIRGINIA PREMIER |
| 248116 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617000437 | VA | Practitioner - Mental Health Counselor | 7416490602 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1316088131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10299 WOODMAN RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230604419",
"telephone_number": "804-727-8500",
"fax_number": "804-727-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 THOMPSON ST",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230051128",
"telephone_number": "727-205-2077"
}
],
"practiceLocations": [
{
"address_1": "10299 Woodman Rd",
"address_purpose": "LOCATION",
"city": "Glen Allen",
"state": "VA",
"postal_code": "230604419",
"country_code": "US",
"telephone_number": "804-727-8500",
"fax_number": "804-727-8580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARROW",
"first_name": "BONNIE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER",
"identifier": "4945131",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "248116",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.