Active NPI
Yolanda Annette Bonner, LPC
- Professional Counselor
- Kenner, LA
National Provider Identifier
1760871891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4469
- Practice address
- 503 E Loyola Dr
Kenner, LA 70065-4119 - Phone
- (504) 220-8442
- NPI assigned
- Jan 13, 2015
- Last updated
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4469 | LA | |
| Professional Counselor | 101YP2500X | 4469 | LA | Primary |
Addresses
Primary practice location
503 E Loyola Dr
Kenner, LA 70065-4119
Mailing address
PO Box 2353
Kenner, LA 70063-2353
Phone (504) 220-8442
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4469 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creator Destiny LLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1760871891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2353",
"city": "KENNER",
"state": "LA",
"postal_code": "700632353",
"telephone_number": "504-220-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 E LOYOLA DR",
"city": "KENNER",
"state": "LA",
"postal_code": "700654119",
"telephone_number": "504-220-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "YOLANDA",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "4469",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.