Bonnie Donaldson, LCDC, CFLE
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Van Alstyne, TX
NPI 1801665708 · NPPES record last updated Dec 11, 2024
Key facts
- NPI
- 1801665708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 16639 (TX)
- Practice address
- 156 Daniel Dr
Van Alstyne, TX 75495-2926 - Phone
- (214) 585-1414
- NPI assigned
- Dec 20, 2023
- Reactivated
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 N McDonald St
Suite 400
McKinney, TX 75071-3036
PO Box
Van Alstyne, TX 75495
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260206003765 | TX | Practitioner - Mental Health Counselor | 2961981550 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16639 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Friend Jack'S House | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
2000 N McDonald St
Ste 400
McKinney, TX 75071
Phone (214) 585-1414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 16639 | TX | Yes |
Addresses
Primary practice location
156 Daniel Dr
Van Alstyne, TX 75495-2926
Mailing address
PO Box 1146
Van Alstyne, TX 75495-1146
Phone (214) 585-1414
Other providers in Van Alstyne, TX
- City of Van Alstyne
- Jennifer Cuyle
- Dallas County Hospital District
- David W Schatz
- DJK Home Healthcare, LLC
- E-Authority Inc.
- Pamela Susan Egner
- Dustin Ross Emery
- Mika Sue English
- Enterhealth, LRC
All providers in Van Alstyne, TX · Addiction (Substance Use Disorder) Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.