Active NPI
Andrea Lea Bon-Wilson, LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1952930752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0004988
- Practice address
- 1711 S Krameria Way
Denver, CO 80224-2138 - Phone
- (720) 321-8312
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 0004988 | CO | Primary |
Addresses
Primary practice location
1711 S Krameria Way
Denver, CO 80224-2138
Mailing address
1711 S Krameria Way
Denver, CO 80224-2138
Phone (303) 882-0223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0004988 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1952930752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 S KRAMERIA WAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802242138",
"telephone_number": "303-882-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 S KRAMERIA WAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802242138",
"telephone_number": "720-321-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BON-WILSON",
"first_name": "ANDREA",
"middle_name": "LEA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0004988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.