Individual provider Active NPI

Bonnie C. Martin, LPC

  • Professional Counselor
  • Frankfort, IL
National Provider Identifier
1437746351
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.016646 Issued in IL
Practice address
10201 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone
(708) 269-1516
NPI assigned
Dec 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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 178.016646 IL Primary

Addresses

Primary practice location

10201 W Lincoln Hwy
Frankfort, IL 60423-1279

Mailing address

25212 S 88TH Ave
Frankfort, IL 60423-8449
Phone (219) 743-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20240808000072 IL Practitioner - Mental Health Counselor 3678010626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platt Professional Counseling LLCGroup PAC ID 3971997735, 12 clinicians

Practice addresses (Care Compare)

10217 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (708) 269-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.016646ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Platt Professional Counseling, LLC Professional CurrentSince Jun 1, 2024 Accepting new patients

Locations

10221 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 806-7560

10217 W Lincoln Hwy
Frankfort, IL 60423
Phone (708) 269-1516

Organizations & group practices 1

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": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1437746351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25212 S 88TH AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238449",
            "telephone_number": "219-743-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231279",
            "telephone_number": "708-269-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BONNIE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.