Renando Bonner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1770 Washington St
Ste 2
Arcadia, LA 71001-4302

Phone

(318) 579-5105

Fax

(318) 579-5106

NPI assigned

Mar 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Humble Beginnings Counseling Agency, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, LA
  • NPI 1275920605
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1972964351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 WASHINGTON ST",
            "address_2": "STE 2",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710014302",
            "telephone_number": "318-579-5105",
            "fax_number": "318-579-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 WASHINGTON ST",
            "address_2": "STE 2",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710014302",
            "telephone_number": "318-579-5105",
            "fax_number": "318-579-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "RENANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bienville Medical Center, Inc.
• Bienville Medical Center, Inc.
• Bienville Parish
• Bienville Parish School Board
• Bienville Parish School Board
• Reginald Bridges
• Don Calloway
• Amber C Chanler, CPNP
• Nikeya Chatman
• Abbigail Cheshier

• All providers in Arcadia, LA
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.