Active NPI
Bonita Luz, LPC
- Professional Counselor
- Burnsville, NC
National Provider Identifier
1487725685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 965
- Practice address
- 10 N Main St
Burnsville, NC 28714-2925 - Phone
- (828) 682-1551
- Fax
- (828) 682-2119
- NPI assigned
- Nov 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 965 | NC | Primary |
Addresses
Primary practice location
10 N Main St
Burnsville, NC 28714-2925
Mailing address
PO Box 396
Burnsville, NC 28714-0396
Phone (828) 682-1551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102346 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 965 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1487725685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "BURNSVILLE",
"state": "NC",
"postal_code": "287140396",
"telephone_number": "828-682-1551",
"fax_number": "828-682-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N MAIN ST",
"city": "BURNSVILLE",
"state": "NC",
"postal_code": "287142925",
"telephone_number": "828-682-1551",
"fax_number": "828-682-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZ",
"first_name": "BONITA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102346",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.