Active NPI
Kathryn Bonilla, MA
- Mental Health Counselor
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2629 Redwing Rd Ste 130
Fort Collins, CO 80526-2879 - Phone
- (970) 404-1220
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2629 Redwing Rd Ste 130
Fort Collins, CO 80526-2879
Mailing address
2629 Redwing Rd Ste 130
Fort Collins, CO 80526-2879
Phone (970) 404-1220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1024 S Lemay Ave
Fort Collins, CO 80524-3929
1107 S Lemay Ave
Suite 100
Fort Collins, CO 80524-3956
Phone (970) 207-4857
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Health Care Inc. | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Health Care Inc | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Integrative Therapies of Co LLC | Professional | Current | Accepting new patients |
| Poudre Valley Health Care Inc | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800
4674 Snow Mesa Dr
Ste 100
Fort Collins, CO 80528
Phone (970) 482-3712
4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800
4674 Snow Mesa Dr
Ste 200
Fort Collins, CO 80528
Phone (970) 266-3650
2629 Redwing Rd
Ste 130
Fort Collins, CO 80526
Phone (970) 645-3440
1107 S Lemay Ave
Ste 100
Fort Collins, CO 80524
Phone (970) 207-4857
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
Organizations & group practices 6
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Professional Counselor
- Fort Collins, CO
- NPI 1669820692
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1760492714
-
- Clinic/Center
- Fort Collins, CO
- NPI 1457494304
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1962158857
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1922521301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 REDWING RD STE 130",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262879",
"telephone_number": "970-404-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 REDWING RD STE 130",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262879",
"telephone_number": "970-404-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "KATHRYN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.