Reyna Bonilla, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-24768 Issued in AZ

Practice address

2180 S 4TH Ave Ste C&B
Yuma, AZ 85364-6478

Phone

(928) 919-9521

Fax

(928) 247-9101

NPI assigned

Apr 11, 2023

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Counseling & Recovery Services

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1164765350
  NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1528753886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122635",
            "telephone_number": "602-230-7373",
            "fax_number": "602-682-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 S 4TH AVE STE C&B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646478",
            "telephone_number": "928-919-9521",
            "fax_number": "928-247-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 E Palo Verde St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853653537",
            "country_code": "US",
            "telephone_number": "602-230-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3970 W 24th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853649261",
            "country_code": "US",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "REYNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "21381",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boeskin Dental PLLC (Dental Co. of Yuma)
• Jason Robert Boeskin, DMD
• Priscilla Noemi Bolanos
• Kristofer Bonar
• Luis Ruben Bonilla, LPC
• Kusalik Boppana, MD
• Gina Botello, FNP
• George Boughan, DDS
• Kimberlee A Bowie, B.S.
• Virgina Dawn Bowling, FOSTER PARENT

• Professional Counselor in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.