Individual provider Active NPI

Bonnie Donaldson, LCDC, CFLE

  • Addiction (Substance Use Disorder) Counselor
  • Van Alstyne, TX
National Provider Identifier
1801665708
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16639 Issued in TX
Practice address
156 Daniel Dr
Van Alstyne, TX 75495-2926
Phone
(214) 585-1414
NPI assigned
Dec 20, 2023
Reactivated
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 16639 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206003765 TX Practitioner - Mental Health Counselor 2961981550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16639TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
My Friend Jack's House Addiction (Substance Use Disorder) CurrentSince Jan 27, 2026 Accepting new patients

Locations

2000 N McDonald St
Ste 400
McKinney, TX 75071
Phone (214) 585-1414

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": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1801665708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754951146",
            "telephone_number": "214-585-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 DANIEL DR",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754952926",
            "telephone_number": "214-585-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "BONNIE",
        "credential": "LCDC, CFLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-12-11",
        "certification_date": "2023-12-21",
        "deactivation_date": "2024-01-26",
        "reactivation_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Alstyne, TX

Sources for this page

Verify at the official NPI Registry.