Organization Active NPI

Erin Bonsall, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winston Salem, NC
National Provider Identifier
1386254662
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ERIN BONSALL, PLLC
Practice address
2910 Briarcliffe Rd
Winston Salem, NC 27106-3176
Phone
(336) 661-5053
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Erin Jeffords Bonsall, LCMHCNPI 1174856454
Title
Therapist
Phone
(336) 661-5053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2910 Briarcliffe Rd
Winston Salem, NC 27106-3176

Mailing address

2790 Acorn CT
Winston Salem, NC 27106-5723
Phone (336) 661-5053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1386254662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 ACORN CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065723",
            "telephone_number": "336-661-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFFE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063176",
            "telephone_number": "336-661-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN BONSALL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "BONSALL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "JEFFORDS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "336-661-5053",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.