Individual provider Active NPI

Bonnie Wheeler, M.A.

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1912063264
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801034288 Issued in MI
Practice address
3887 Okemos Rd
Suite A2
Okemos, MI 48864-3664
Phone
(517) 706-0440
Fax
(517) 347-3702
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401000752 MI
Clinical Social Worker 1041C0700X 6801034288 MI Primary

Addresses

Primary practice location

3887 Okemos Rd
Suite A2
Okemos, MI 48864-3664

Mailing address

3887 Okemos Rd
Suite A2
Okemos, MI 48864-3664
Phone (517) 706-0440

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401000752MIMDProfessional Counselor
6801034288MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Deyoung LMSW LLC Clinical PastSince Dec 28, 2022 Accepting new patients
Shepherds Staff Counseling Services, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912063264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 OKEMOS RD",
            "address_2": "SUITE A2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643664",
            "telephone_number": "517-706-0440",
            "fax_number": "517-347-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 OKEMOS RD",
            "address_2": "SUITE A2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643664",
            "telephone_number": "517-706-0440",
            "fax_number": "517-347-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401000752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.