Individual provider Active NPI

Bonnie L Chesley, LMHC

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1700101763
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8148 Issued in MA
Practice address
266 Cabot St
Suite 8
Beverly, MA 01915-3370
Phone
(978) 712-8803
NPI assigned
Apr 2, 2010
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8148 MA Primary

Addresses

Primary practice location

266 Cabot St
Suite 8
Beverly, MA 01915-3370

Mailing address

3 Town Farm Rd
Ipswich, MA 01938-1378

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1700101763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TOWN FARM RD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019381378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 CABOT ST",
            "address_2": "SUITE 8",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153370",
            "telephone_number": "978-712-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESLEY",
        "first_name": "BONNIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.