Individual provider Active NPI

Kathleen Therese Bonnici, LPC

  • Professional Counselor
  • York, PA
National Provider Identifier
1427718071
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014010 Issued in PA
Practice address
160 Roosevelt Ave
York, PA 17401-3378
Phone
(717) 845-2428
Fax
(717) 845-2682
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC014010 PA Primary

Addresses

Primary practice location

160 Roosevelt Ave
York, PA 17401-3378

Mailing address

410 N Prince St
Lancaster, PA 17603-3010
Phone (717) 560-7917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC014010PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Redemption Wellness Services, LLC Past Accepting new patients
T.W. Ponessa & Associates Counseling Services, Inc. PastSince Dec 26, 2021 Accepting new patients
T. W. Ponessa and Associates Counseling PastSince Dec 26, 2021 Accepting new patients

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1427718071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N PRINCE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROOSEVELT AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174013378",
            "telephone_number": "717-845-2428",
            "fax_number": "717-845-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNICI",
        "first_name": "KATHLEEN",
        "middle_name": "THERESE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.