Individual provider Active NPI

Constance Marlene Bonner-Britt, LMHC

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1871562264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009182 Issued in WA
Practice address
924 S 11TH St
Mount Vernon, WA 98274-4406
Phone
(360) 542-6895
Fax
(866) 492-5137
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00009182 WA Primary

Addresses

Primary practice location

924 S 11TH St
Mount Vernon, WA 98274-4406

Mailing address

924 S 11TH St
Mount Vernon, WA 98274-4406
Phone (360) 542-6895

Other identifiers 1

IdentifierTypeStateIssuer
LH00009182OtherWAMENTAL HEALTH LICENSE NUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH00009182WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871562264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 S 11TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744406",
            "telephone_number": "360-542-6895",
            "fax_number": "866-492-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 S 11TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744406",
            "telephone_number": "360-542-6895",
            "fax_number": "866-492-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER-BRITT",
        "first_name": "CONSTANCE",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH LICENSE NUM",
            "identifier": "LH00009182",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.