Nate Bonovitz Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NATE BONOVITZ COUNSELING, LLC

Practice address

1151 E Iron Eagle Dr
Eagle, ID 83616-6854

Phone

(484) 557-5672

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nate Bonovitz

Title

Owner

Phone

(484) 557-5672

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel Bonovitz, LCPC

  • Mental Health Counselor
  • Eagle, ID
  • NPI 1154586550
  NPD

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1508405945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 N DECATUR DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837042227",
            "telephone_number": "484-557-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E IRON EAGLE DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166854",
            "telephone_number": "484-557-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATE BONOVITZ COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "BONOVITZ",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-557-5672"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew C Murray, PHARM.D.
• Patricia Lynn Murray
• Mushin, Inc. (Eagle Cramer Chiropractic)
• Alexander Nagle
• Vipul N Nanavati, MD, BSME, CAQH
• Catie Ardean Navejar
• Kimberly Kaye Nealey, NCC, LCPC, ACADC
• Alan Glen Neighbors, LCSW
• Jessica Shakespeare Neighbors, PSYD, LCSW
• Kelly Paris Nellesen

• Adult Mental Health Clinic/Center in Eagle, ID
• Providers in Eagle, ID by specialty
• Adult Mental Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.