NPIMap

Organization Active NPI

Bonham and Associates

  • Addiction (Substance Use Disorder) Counselor
  • Farmington, NM
National Provider Identifier
1720231996
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4397 Issued in NM
Legal business name
BONHAM AND ASSOCIATES
Practice address
205 N Auburn Ave
Farmington, NM 87401-8411
Phone
(505) 564-3733
Fax
(505) 564-3788
NPI assigned
Oct 31, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Mrs. Kim D Dutremaine, LISWNPI 1770739096
Title
Clinical Director
Phone
(505) 564-3733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4397 NM Primary

Addresses

Primary practice location

205 N Auburn Ave
Farmington, NM 87401-8411

Mailing address

205 N Auburn Ave
Farmington, NM 87401-8411
Phone (505) 564-3733

National Provider Directory

National Provider Directory
Tax ID family
Bonham and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1720231996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N AUBURN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018411",
            "telephone_number": "505-564-3733",
            "fax_number": "505-564-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N AUBURN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018411",
            "telephone_number": "505-564-3733",
            "fax_number": "505-564-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONHAM AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "DUTREMAINE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-564-3733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "4397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.