NPIMap

Individual provider Active NPI

Bonnie S Dooley, MA, LLPC, SCL

  • Counselor
  • Eastpointe, MI
National Provider Identifier
1437434438
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401012066 Issued in MI
Practice address
20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137
Phone
(586) 585-1955
Fax
(586) 585-1963
NPI assigned
Oct 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012066 MI Primary

Addresses

Primary practice location

20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137

Mailing address

20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137
Phone (586) 585-1955

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401012066MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Specialty Care Services LLC Past Accepting new patients
New Horizons Mental Health Services PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1437434438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20960 KELLY RD",
            "address_2": "SUITE B",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213137",
            "telephone_number": "586-585-1955",
            "fax_number": "586-585-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20960 KELLY RD",
            "address_2": "SUITE B",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213137",
            "telephone_number": "586-585-1955",
            "fax_number": "586-585-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "BONNIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC, SCL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.