Individual provider Active NPI

Bonnie Jean Kane, LPC, LMT

  • Professional Counselor
  • Bensalem, PA
National Provider Identifier
1861948648
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015135 Issued in PA
Practice address
3070 Bristol Pike Ste 2-218
Bensalem, PA 19020-5361
Phone
(267) 332-6605
Fax
(215) 748-1819
NPI assigned
Aug 31, 2016
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC015135 PA
Professional Counselor 101YP2500X PC015135 PA Primary
Massage Therapist 225700000X MSG009936 PA

Addresses

Primary practice location

3070 Bristol Pike Ste 2-218
Bensalem, PA 19020-5361

Mailing address

2247 Finley Ave
Bensalem, PA 19020-5220
Phone (267) 872-9694

Other names 1

  • Bonnie Jean Kane Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mbswc.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240111002431 PA Practitioner - Mental Health Counselor 6709162597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2247 Finley Ave
Bensalem, PA 19020-5220

3070 Bristol Pike
Suite 2 218
Bensalem, PA 19020-5361
Phone (267) 332-6605

4802 Neshaminy Blvd
Suite 3
Bensalem, PA 19020-1041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015135PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Soul Wellness Center, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

4802 Neshaminy Blvd
Ste 3
Bensalem, PA 19020
Phone (267) 872-9694

4802 Neshaminy Blvd
Ste 34
Bensalem, PA 19020

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1861948648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 FINLEY AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205220",
            "telephone_number": "267-872-9694",
            "fax_number": "267-748-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 BRISTOL PIKE STE 2-218",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205361",
            "telephone_number": "267-332-6605",
            "fax_number": "215-748-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "LPC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015135",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015135",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG009936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mbswc.net",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3070 Bristol Pike Ste 2-218",
            "city": "Bensalem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190205361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "KANE",
            "middle_name": "JEAN",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.