Kelly D Bonebright, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007982 Issued in VA

Practice address

117A Tradewynd Dr # 115a
Lynchburg, VA 24502-3112

Phone

(434) 214-8821

NPI assigned

Feb 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Horizon Behavioral Health

  • Community/Behavioral Health Agency
  • Lynchburg, VA
  • NPI 1871542340
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1407312853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117A TRADEWYND DR # 115A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023112",
            "telephone_number": "434-214-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117A TRADEWYND DR # 115A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023112",
            "telephone_number": "434-214-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Langhorne Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011121",
            "country_code": "US",
            "telephone_number": "434-847-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONEBRIGHT",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Bond, M.D.
• Julia P. Bond, M.D.
• Melissa Bond, FNP-BC
• Laura Cherell Bonds, LMT
• Jennifer G. Bondurant, LPC
• Brittany Bonner
• Robert Bonser
• Warren Booker
• Boonsboro Drug Inc.
• Jacqueline Born, CNM

• Professional Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.