Lynn Bonner-Nelson, LMHC, CRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7780 Issued in FL

Practice address

6161 Dr. MLK Jr Street N. #204
Saint Petersburg, FL 33703

Phone

(727) 520-9447

Fax

(727) 520-9444

NPI assigned

Oct 25, 2011

Sex

Female

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.

• The Holistic Mental Health Clinic

  • Adult Mental Health Clinic/Center
  • Saint Petersburg, FL
  • NPI 1073396594
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1437435237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 DR. MLK JR STREET N. #204",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-520-9447",
            "fax_number": "727-520-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 DR. MLK JR STREET N. #204",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-520-9447",
            "fax_number": "727-520-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER-NELSON",
        "first_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMHC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Bonilla, O.T
• Eileen D Bonilla, LMHC
• Yolanda Bonilla, MD
• Bonita J Drake M.D, P.a
• Laura Kristine Bonnemort, PSYD
• Desiree Lynn Bonnet, ARNP
• Robert Bonser, DMD
• Ernst Bontemps, MD
• Joseph A Booker, LCSW
• Erin Boone

• Mental Health Counselor in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.