Individual provider Active NPI

Catherine Bonham, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1952606154
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4822 Issued in CO
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

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IVERSON373OtherCOLPN

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4822COMDProfessional 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

Verify at the official NPI Registry.