Individual provider Active NPI

Lauren Elizabeth Bonner, MA, LPC

  • Professional Counselor
  • Center, TX
National Provider Identifier
1568037802
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81318 Issued in TX
Practice address
304 Logansport St
Center, TX 75935-3521
Phone
(936) 657-8023
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81318 TX Primary

Addresses

Primary practice location

304 Logansport St
Center, TX 75935-3521

Mailing address

PO Box 1584
Center, TX 75935-1584
Phone (936) 591-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001561 TX Practitioner - Mental Health Counselor 0941650881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
81318TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Opportunities for the People of East Texas, Inc. CurrentSince Jun 26, 2022 Accepting new patients
Intentional Mental Health & Wellness PLLC Professional CurrentSince Dec 13, 2023 Accepting new patients

Locations

304 Logansport St
Center, TX 75935
Phone (936) 591-8380

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1568037802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759351584",
            "telephone_number": "936-591-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LOGANSPORT ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353521",
            "telephone_number": "936-657-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

Verify at the official NPI Registry.