Organization Active NPI

Bonnie Brown Counseling, LLC

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1811455447
Registry record updated Mar 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BONNIE BROWN COUNSELING, LLC
Practice address
7100 Plantation Rd Ste 11
Pensacola, FL 32504-6234
Phone
(850) 607-8453
Fax
(850) 607-6935
NPI assigned
Mar 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2019

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

Authorized official

Name
Ms. Bonnie Brown, LCSWNPI 1427332352
Title
Owner
Phone
(850) 232-6935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7100 Plantation Rd Ste 11
Pensacola, FL 32504-6234

Mailing address

7100 Plantation Rd Ste 11
Pensacola, FL 32504-6234
Phone (850) 607-8453

Other identifiers 1

IdentifierTypeStateIssuer
1427332352OtherCMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190530001382 FL Part B Supplier - Clinic/Group Practice 8628311990 Receives reassigned benefits from 1 practitioner
Practice locations: Cantonment, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551484800000",
    "number": "1811455447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 PLANTATION RD STE 11",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046234",
            "telephone_number": "850-607-8453",
            "fax_number": "850-607-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 PLANTATION RD STE 11",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046234",
            "telephone_number": "850-607-8453",
            "fax_number": "850-607-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE BROWN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-03-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-232-6935",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1427332352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.