Bonita Smith, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC9755 Issued in MD

Practice address

3516 Eyre Dr N
Upper Marlboro, MD 20772-3202

Phone

(240) 639-5240

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bonita Young Former name

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 and National Provider Directory roles.

• Insight Behavioral Services, LLC

  • Counselor
  • Bowie, MD
  • NPI 1386213114
  NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1619527926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE STE 163",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "301-379-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 EYRE DR N",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723202",
            "telephone_number": "240-639-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10632 Little Patuxent Pkwy Ste 327",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210446283",
            "country_code": "US",
            "telephone_number": "443-864-5647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BONITA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC9755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONITA",
            "last_name": "YOUNG",
            "credential": "LGPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tony Marcus Small
• Anne C Smith, OTR/L, CLT
• Ayaana Smith
• Benjamin Michael Smith, M.D.
• Beverly R Smith, NCC, LCPC, LPC
• Camilla Sarah Smith, LICSW
• Diane Caryl Smith, PHARMD
• Donita Smith
• Elaine Melissa Smith, CRNP
• Eric W. Smith, PTA

• Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.