Richard David Bonney Jr., LCAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI 1689217648 · NPPES record last updated Nov 18, 2019

Key facts

NPI: 1689217648
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address: 5638 Professional Cir
Indianapolis, IN 46241-5042
Phone: (888) 714-1927
Fax: (317) 247-8935
NPI assigned: Oct 22, 2019
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Cummins Behavioral Health Systems, Incorporated Mental Health Clinic/Center (Including Community Mental Health Center) · Avon, IN · NPI 1740232115

NPD

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Cummins Behavioral Health Systems, Incorporated		Current since Nov 13, 1995	Accepting new patients

Locations

6655 E US Highway 36
Avon, IN 46123
Phone (317) 272-3330

5101 E US Highway 36
Ste 100
Avon, IN 46123
Phone (317) 745-9555

1540 Darlington Ave
Crawfordsville, IN 47933

308 Medic Way
Greencastle, IN 46135
Phone (317) 653-2669

5638 Professional Cir
Indianapolis, IN 46241
Phone (317) 247-8900

940 Lasley Dr
Lebanon, IN 46052
Phone (765) 482-7421

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X			Yes

Addresses

Primary practice location

5638 Professional Cir
Indianapolis, IN 46241-5042

Mailing address

5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Phone (888) 714-1927

Other providers in Indianapolis, IN

Brianna P Bonne, PA-C
Diamond Nikkole Bonner
Erin Danae Bonner
Latashay Bonner
Quanah Bonner
Jose Bonnin, M.D.
Courtney Sue Bono, NP
Kiven Bonongwe, FNP
Carrie F Bonsack, CNM
Kylie Rochelle Bontrager, D.D.S., M.S.D.

All providers in Indianapolis, IN · Addiction (Substance Use Disorder) Counselor in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. 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.

Verify at the official NPI Registry.