Nicholas Bonacci

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75222 Issued in TX

Practice address

1801 Red Bud LN Ste B215
Round Rock, TX 78664-3813

Phone

(413) 862-9492

Fax

(815) 550-8746

NPI assigned

Feb 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Faithful Therapy TX CorporationGroup PAC ID 0446778328, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Faithful Therapy TX Corporation

  • Counseling Psychologist
  • Fate, TX
  • NPI 1811706716
  Medicare reassignment Care Compare group NPD
• In Service of Thee PLLC

  • Professional Counselor
  • Round Rock, TX
  • NPI 1215671961
  Medicare reassignment NPD Authorized official
• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Temple, TX
  • NPI 1356779706

  Mental Health

  Medicare reassignment NPD
• Maria L Lizardo

  • Clinical Psychologist
  • Round Rock, TX
  • NPI 1811764897
  NPD
• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Georgetown, TX
  • NPI 1841813003
  NPD

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1437658697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RED BUD LN STE B215",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643813",
            "telephone_number": "413-862-9492",
            "fax_number": "815-550-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RED BUD LN STE B215",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643813",
            "telephone_number": "413-862-9492",
            "fax_number": "815-550-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACCI",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "231648",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC7159",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75222",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bolin Counseling Services PLLC
• Mark Bolin, LPC
• Tina Louise Bollman, LCSW
• Christina Marie Boman, NP-C
• Annie Bomer, APRN
• Amanda Marie Bonazzi
• Olivia Bond, M.S. CCC-SLP
• Sara Bonham
• Michael Bonner, LPC-S
• Nicole Bontrager, LPC

• Professional Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.