Scott Bonk, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001022 Issued in GA

Practice address

30 Carrington Dr
Cartersville, GA 30120-6473

Phone

(678) 227-0252

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Etowahcs, LLC

  • Professional Counselor
  • Cartersville, GA
  • NPI 1669064390
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609930304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CARRINGTON DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206473",
            "telephone_number": "678-227-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CARRINGTON DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206473",
            "telephone_number": "678-227-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONK",
        "first_name": "SCOTT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jordan Blevins, FNP
• Blue Summit Hospice of North Georgia LLC
• Justin Boccuti, MS NCC LPC
• Paul Richard Boecler, D.M.D., M.S.
• Anna Robinson Boling, PT
• Jovas C. Booker, D.M.D
• Alexandria Boss
• James A Boutselis, PA-C
• Michelle Bowers
• Michelle Jene Bradshaw

• Marriage & Family Therapist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.