Individual provider Active NPI

Stephanie Marie Bonier, MA, LCPC, CADC

  • Professional Counselor
  • Yorkville, IL
National Provider Identifier
1639410731
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009607 Issued in IL
Practice address
907 Fawn Ridge CT
Unit B
Yorkville, IL 60560-9664
Phone
(630) 464-8100
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180009607 IL Primary
Counselor 101Y00000X 178008465 IL

Addresses

Primary practice location

907 Fawn Ridge CT
Unit B
Yorkville, IL 60560-9664

Mailing address

907 Fawn Ridge CT
Unit B
Yorkville, IL 60560-9664
Phone (630) 464-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178008465ILMDCounselor
180009607ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1639410731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 FAWN RIDGE CT",
            "address_2": "UNIT B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609664",
            "telephone_number": "630-464-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 FAWN RIDGE CT",
            "address_2": "UNIT B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609664",
            "telephone_number": "630-464-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009607",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178008465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.