Bonnie Kiefel, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11743 Issued in TX

Practice address

75 Lakewood Cir
Lake Dallas, TX 75065-3117

Phone

(214) 929-9169

NPI assigned

Jun 22, 2016

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

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1437500337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LAKEWOOD CIR",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653117",
            "telephone_number": "214-929-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LAKEWOOD CIR",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653117",
            "telephone_number": "214-929-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFEL",
        "first_name": "BONNIE",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Harper
• Madeline Nicole Hayes Berkhout, SLP-A
• Bridget Jaecks, MS, LPC, LCDC
• Cynthia Johnson Jones, LPC-S
• K2 Home Healthcare, Inc.
• Jake Kim, DDS
• Kathy L. King, R.D.N.
• Jerome P. Kralka I
• Lake Dallas Family Medicine PLLC
• Lake Dallas Isd

• Addiction (Substance Use Disorder) Counselor in Lake Dallas, TX
• Providers in Lake Dallas, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.