Nicole Bonifas, PLMHP
Individual provider Active NPI Mental Health Counselor · Elkhorn, NE
NPI 1801253166 · NPPES record last updated Jan 18, 2016
Key facts
- NPI
- 1801253166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10750 (NE)
- Practice address
- 20275 Honeysuckle Dr
Ste 103
Elkhorn, NE 68022-3962 - Phone
- (402) 933-5700
- Fax
- (402) 933-9998
- NPI assigned
- Jan 18, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10750 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10750 | NE | Yes |
Addresses
Primary practice location
20275 Honeysuckle Dr
Ste 103
Elkhorn, NE 68022-3962
Mailing address
20275 Honeysuckle Dr
Ste 103
Elkhorn, NE 68022-3962
Phone (402) 933-5700
Other providers in Elkhorn, NE
- Bloomwell Behavioral Health Inc.
- Hunter Bockman
- Manuela Bogdanovic
- John Bohn
- Robert G. Bonebrake
- Emma Borgmann
- Nancy J Boro
- Angel Borunda
- Kayla Bouckhuyt
- Crystal Kay Bower
All providers in Elkhorn, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2016. 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.