Kristin Bonilla New Hope Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KRISTIN BONILLA NEW HOPE COUNSELING, LLC

Practice address

3208 Whitney Ave
Hamden, CT 06518-2158

Phone

(475) 209-1835

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Kristin Marie Bonilla, MS, LADC, CCS, AADC

Title

Owner

Phone

(475) 209-1835

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1821648635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COSTANZO CT",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182464",
            "telephone_number": "407-209-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182158",
            "telephone_number": "475-209-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN BONILLA NEW HOPE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-209-1835",
        "authorized_official_credential": "MS, LADC, CCS, AADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15558926766",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVRS WEB USER ID",
            "identifier": "008086906",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Therapy Notes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3208 Whitney Ave",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065182158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria Koukos, APRN, FNP-C
• Emma Belle Kravet, RN
• Kenneth Kregling, DPT
• Dana Nicole Krete, ND, LAC
• Katherine Krevolin, FNP-C
• Donald John Kruger Jr.
• Babu Shiva Kumar, MD
• Prathibha Kumar, M.D.
• Jeffrey W Kwan, M.D.
• L&M Counseling Services

• Community/Behavioral Health Agency in Hamden, CT
• Providers in Hamden, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.