Individual provider Active NPI

Bonnie Elizabeth Tokoph, LISAC, MC

  • Addiction (Substance Use Disorder) Counselor
  • Glendale, AZ
National Provider Identifier
1922254655
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11717 Issued in AZ
Practice address
18001 N 79TH Ave Ste C53
Glendale, AZ 85308-8394
Phone
(602) 527-8600
Fax
(602) 971-2494
NPI assigned
Aug 13, 2008
Last updated
Aug 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11717 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X 11717 AZ Primary
Mental Health Counselor 101YM0800X 11717 AZ
Professional Counselor 101YP2500X 11717 AZ

Addresses

Primary practice location

18001 N 79TH Ave Ste C53
Glendale, AZ 85308-8394

Mailing address

1326 E Helena Dr
Phoenix, AZ 85022-2077
Phone (602) 527-8600

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
11717AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1922254655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 E HELENA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222077",
            "telephone_number": "602-527-8600",
            "fax_number": "602-971-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE C53",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088394",
            "telephone_number": "602-527-8600",
            "fax_number": "602-971-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKOPH",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LISAC, MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "11717",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11717",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "11717",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "11717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.