Lauren Elizabeth Bonner, MA, LPC
Individual provider Active NPI Professional Counselor · Center, TX
NPI 1568037802 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1568037802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 81318 (TX)
- Practice address
- 304 Logansport St
Center, TX 75935-3521 - Phone
- (936) 657-8023
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9626 State Hwy 7 E
Joaquin, TX 75954-3986
Phone (936) 657-0090
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219001561 | TX | Practitioner - Mental Health Counselor | 0941650881 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81318 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intentional Mental Health & Wellness PLLC | Professional | Current |
Accepting new patients |
| Health Opportunities for the People of East Texas, Inc. | Current |
Accepting new patients |
Locations
304 Logansport St
Center, TX 75935
Phone (936) 591-8380
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81318 | TX | Yes |
Addresses
Primary practice location
304 Logansport St
Center, TX 75935-3521
Mailing address
PO Box 1584
Center, TX 75935-1584
Phone (936) 591-8380
Other providers in Center, TX
- Michael H Belgard
- Bianca J Bennett
- Valerie Berry
- Kellie Bleile
- Clarence Winston Bolinger Jr.
- Madyson Ryane Bowden Mathews
- Chaundra Boyd
- Sarah Amanda Brantley
- Teresa Leann Britt
- Kylie Brixey
All providers in Center, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.