Laura Bonk, LPC
Individual provider Active NPI Mental Health Counselor · Overland Park, KS
NPI 1669960902 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1669960902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 04256 (KS)
- Practice address
- 9401 Indian Creek Pkwy
Building 40, Suite 520
Overland Park, KS 66210 - Phone
- (308) 882-1747
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SATC257 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 04256 | KS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SATC257 | NE | |
| Mental Health Counselor | 101YM0800X | 04256 | KS | Yes |
Addresses
Primary practice location
9401 Indian Creek Pkwy
Building 40, Suite 520
Overland Park, KS 66210
Mailing address
4600 W 121St Ter Apt 412
Leawood, KS 66209-4202
Phone (308) 882-1747
Other providers in Overland Park, KS
- Kathleen A Bolt
- Benjamas W Bolton
- James Kenneth Bonafide
- Andrea R Bond
- Mia Bond
- Laura Bonnici
- Richard Joseph Bono Jr.
- Ann Frances Bonsignore
- Jennifer Louise Booker
- Jeanne Boone
All providers in Overland Park, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.