Individual provider Active NPI

Bonnie L Lewis, LAMFT

  • Marriage & Family Therapist
  • Scottsdale, AZ
National Provider Identifier
1942665096
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LAMFT-10483 Issued in AZ
Practice address
8737 E Via de Commercio Ste 200
Scottsdale, AZ 85258-3595
Phone
(480) 888-5380
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT-10483 AZ Primary

Addresses

Primary practice location

8737 E Via de Commercio Ste 200
Scottsdale, AZ 85258-3595

Mailing address

8737 E Via de Commercio
Suite 200
Scottsdale, AZ 85258-3595
Phone (928) 362-0942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAMFT-10483AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Heart Marriage & Family Therapist Past Accepting new patients
Therapy With Heart Marriage & Family Therapist PastSince Dec 29, 2019 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": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1942665096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 E VIA DE COMMERCIO",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583595",
            "telephone_number": "928-362-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 E VIA DE COMMERCIO STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583595",
            "telephone_number": "480-888-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BONNIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LAMFT-10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.