Bonita G Brigman, PHD
Individual provider Active NPI Marriage & Family Therapist · Blacksburg, VA
NPI 1366488181 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1366488181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0717000664 (VA)
- Practice address
- 200 Professional Park Dr SE
Suite 4
Blacksburg, VA 24060-6679 - Phone
- (540) 951-4800
- Fax
- (540) 951-3081
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240307000099 | VA | Practitioner - Marriage and Family Therapist | 0648636837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001171 | VA | MD | Counselor |
| 0717000664 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cascade Group Inc | Counselor | Current |
Accepting new patients |
Locations
200 Professional Park Dr SE
Ste 4
Blacksburg, VA 24060
Phone (540) 951-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701001171 | VA | |
| Marriage & Family Therapist | 106H00000X | 0717000664 | VA | Yes |
Addresses
Primary practice location
200 Professional Park Dr SE
Suite 4
Blacksburg, VA 24060-6679
Mailing address
200 Professional Park Dr
Suite 4
Blacksburg, VA 24060
Phone (540) 951-4800
Other providers in Blacksburg, VA
- Elizabeth Hope Bradbury
- Jennifer Renae Bradley
- Caitlynn Brandon
- Melissa Breen
- Bailee Alafair Brewster
- Jason Edward Brinckman
- Kerry Fain Brisco
- Cheryl Dawn Britts
- Kari Kent Brizendine
- Per Gunnar Brolinson
All providers in Blacksburg, VA · Marriage & Family Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.