William Guy Boniface LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLIAM GUY BONIFACE LPC

Doing business as

Summit counseling

Practice address

1401 Potter Dr Ste 101
Colorado Springs, CO 80909-3500

Phone

(719) 398-1544

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Mr. William Boniface, LPC

Title

Therapists

Phone

(719) 398-1544

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit counseling Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1841855103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 PEPPERRIDGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205739",
            "telephone_number": "719-398-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 POTTER DR STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093500",
            "telephone_number": "719-398-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM GUY BONIFACE LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "BONIFACE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "THERAPISTS",
        "authorized_official_telephone_number": "719-398-1544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "968868",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WilliamGuyBonifaceLPC",
            "affiliation": "N",
            "address_1": "1401 Potter Dr Ste 101",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809093500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Summit counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.