Bonnie Lungren LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904007809 Issued in VA

Legal business name

BONNIE LUNGREN LLC

Practice address

315 Winding River LN Ste 201
Charlottesville, VA 22911-3568

Phone

(434) 962-8447

NPI assigned

Sep 30, 2015

Last updated

Sep 30, 2015By 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

Bonnie LungrenNPI 1144599010

Title

LCSW

Phone

(434) 962-8447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Bonnie L Lungren, LCSW, CADC, CCDP

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1144599010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1609246974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WINDING RIVER LN STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINDING RIVER LN STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113568",
            "telephone_number": "434-962-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE LUNGREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "LUNGREN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "434-962-8447"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904007809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia P Bonham, MS OTR/L
• Kristine Carlson Bonham, RDN
• Courtney Dyan Bonilla, LPC
• Jennifer Weintraub Bonjrada, L.C.S.W.
• Lauren Kravetz Bonnet, PH.D., CCC-SLP
• Erin Bontrager
• Kimberly Booker
• Jacob Avram Boomgaardt, DO
• Ashley Rebecca Booth
• Caleb Booth, PA

• Community/Behavioral Health Agency in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.