Active NPI
Catherine Bonham, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1952606154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4822
- Practice address
- 3595 E Fountain Blvd
Colorado Springs, CO 80910-1733 - Phone
- (719) 623-2356
- NPI assigned
- Jan 19, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4822 | CO | Primary |
Addresses
Primary practice location
3595 E Fountain Blvd
Colorado Springs, CO 80910-1733
Mailing address
334 Dittmer Ave
Pueblo, CO 81004-1023
Phone (171) 924-0342
Other practice location 1
3230 E Woodmen Rd Ste 110
Colorado Springs, CO 80920-8502
Phone (719) 623-2356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IVERSON373 | Other | CO | LPN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4822 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1952606154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 DITTMER AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041023",
"telephone_number": "171-924-0342",
"fax_number": "719-240-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3595 E FOUNTAIN BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809101733",
"telephone_number": "719-623-2356"
}
],
"practiceLocations": [
{
"address_1": "3230 E Woodmen Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809208502",
"country_code": "US",
"telephone_number": "719-623-2356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONHAM",
"first_name": "CATHERINE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN",
"identifier": "IVERSON373",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.