Active NPI
Stephanie Elyse Bonardi, LPC
- Professional Counselor
- Mansfield, CT
National Provider Identifier
1780915785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001876
- Practice address
- 189 Storrs Rd
Mansfield, CT 06250 - Phone
- (860) 886-4850
- NPI assigned
- Jan 15, 2010
- Last updated
- Feb 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001876 | CT | Primary |
Addresses
Primary practice location
189 Storrs Rd
Mansfield, CT 06250
Mailing address
41 South Main Street
#37
Griswold, CT 06351
Phone (860) 886-4850
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
Interoperability endpoints
- stephanie.bonardi@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1780915785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 SOUTH MAIN STREET",
"address_2": "#37",
"city": "GRISWOLD",
"state": "CT",
"postal_code": "06351",
"telephone_number": "860-886-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 STORRS RD",
"city": "MANSFIELD",
"state": "CT",
"postal_code": "06250",
"telephone_number": "860-886-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONARDI",
"first_name": "STEPHANIE",
"middle_name": "ELYSE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.