Individual provider Active NPI

Bonnie Elaine Phillips, MFT

  • Marriage & Family Therapist
  • Asheville, NC
National Provider Identifier
1366596058
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2532 Issued in NC
Practice address
1550 Hendersonville Rd Ste 202
Asheville, NC 28803-3245
Phone
(828) 351-4172
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 46460 CA
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2532 NC Primary

Addresses

Primary practice location

1550 Hendersonville Rd Ste 202
Asheville, NC 28803-3245

Mailing address

1909 Bearberry LN
Asheville, NC 28803-3241
Phone (714) 624-0399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240422003248 NC Practitioner - Marriage and Family Therapist 6901245067 Reassigns benefits to 2 organizations
I20260522002963 CA Practitioner - Marriage and Family Therapist 6901245067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cotswold Clinician Support ServicesGroup PAC ID 3971884511, 18 clinicians

Practice addresses (Care Compare)

1550 Hendersonville Rd
Suite 202
Asheville, NC 28803-3245
Phone (828) 333-9320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46460CAMDDentist
2532NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cotswold Clinician Support Services Single Specialty CurrentSince Apr 12, 2024 Accepting new patients

Locations

1550 Hendersonville Rd
Ste 202
Asheville, NC 28803
Phone (828) 333-9320

447 S Sharon Amity Rd
Ste 250
Charlotte, NC 28211
Phone (704) 264-2973

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1366596058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BEARBERRY LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033241",
            "telephone_number": "714-624-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HENDERSONVILLE RD STE 202",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033245",
            "telephone_number": "828-351-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BONNIE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46460",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.