Active NPI
Bonnie Kay Benson, LPC-922
- Counselor
- Nampa, ID
National Provider Identifier
1356626998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-922
- Practice address
- 430 W Iowa Ave Ste B
Nampa, ID 83686-2826 - Phone
- (208) 546-9332
- Fax
- (208) 475-9888
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-922 | ID | |
| Counselor | 101Y00000X | LPC-922 | ID | Primary |
Addresses
Primary practice location
430 W Iowa Ave Ste B
Nampa, ID 83686-2826
Mailing address
430 W Iowa Ave Ste B
Nampa, ID 83686-2826
Phone (208) 546-9322
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-922 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Place, LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caldwell, ID
- NPI 1770379216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1356626998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W IOWA AVE STE B",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862826",
"telephone_number": "208-546-9322",
"fax_number": "208-475-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W IOWA AVE STE B",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862826",
"telephone_number": "208-546-9332",
"fax_number": "208-475-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "BONNIE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LPC-922",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-922",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.