Bonnie Marie Define

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2007029977 Issued in MO

Practice address

12795 Chesterfield Airport Road
Suite 200
Chesterfield, MO 63005-1423

Phone

(636) 777-7867

NPI assigned

Jun 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bonnie Marie Stroud Former name

Medicare fee-for-service enrollment

Enrolled in MO, FL, AZ3 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 3

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, FL, MO

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1386955052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 VILLAGE CENTER DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684097",
            "telephone_number": "636-777-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12795 CHESTERFIELD AIRPORT ROAD",
            "address_2": "SUITE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051423",
            "telephone_number": "636-777-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFINE",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9030",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007029977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "STROUD",
            "middle_name": "MARIE",
            "credential": "MA, LPC, LMHC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Deckelbaum, RPH
• Gregory M Decker, MD
• Ruth A Decker, MD
• Kelly Maureen Deeker, OTD
• Jane E Defalco, MD
• Ronald K Deguerre, MD
• Sierra Rose Deguire, AGACNP-BC
• Mario Del Frate, DC
• Margaret I Delaney, CRNA
• Delmar Gardens Home Care, Inc.

• All providers in Chesterfield, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.