Individual provider Active NPI

Bonita G Brigman, PHD

  • Marriage & Family Therapist
  • Blacksburg, VA
National Provider Identifier
1366488181
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000664 Issued in 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
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701001171 VA
Marriage & Family Therapist 106H00000X 0717000664 VA Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000099 VA Practitioner - Marriage and Family Therapist 0648636837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701001171VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Cascade Group Inc Counselor CurrentSince May 24, 2005 Accepting new patients

Locations

200 Professional Park Dr SE
Ste 4
Blacksburg, VA 24060
Phone (540) 951-4800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366488181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL PARK DR",
            "address_2": "SUITE 4",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-951-4800",
            "fax_number": "540-951-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 4",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606679",
            "telephone_number": "540-951-4800",
            "fax_number": "540-951-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGMAN",
        "first_name": "BONITA",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701001171",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.