Bonni Behrend, PHD, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1707338 Issued in AR

Practice address

1394 N Tradition Ave
Fayetteville, AR 72704-5562

Phone

(479) 305-1003

NPI assigned

Dec 10, 2019

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1487291340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 N TRADITION AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045562",
            "telephone_number": "479-305-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 N TRADITION AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045562",
            "telephone_number": "479-305-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHREND",
        "first_name": "BONNI",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1707338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Pierce Beckerdite, P.D.
• Steven Keith Beckerdite, P. D.
• Jonathan Beckham, FNP-C
• Trey Becton, M.D.
• Sarah E Beers, DDS
• Nathaniel Behrents, DDS, MS
• Aaron M Bell, CRNA
• Elizabeth Dena Bell, LPN
• Eric Bell, D.C.
• James Michael Bell, APRN

• Mental Health Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.