Active NPI
Tarrah Bonner
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1982149084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61123225
- Practice address
- 1822 Jonquil LN NW
Olympia, WA 98502-8331 - Phone
- (601) 810-8760
- NPI assigned
- Dec 27, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | 61123225 | WA | Primary |
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1822 Jonquil LN NW
Olympia, WA 98502-8331
Mailing address
1822 Jonquil LN NW
Olympia, WA 98502-8331
Phone (601) 810-8760
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 |
|---|---|---|---|
| 61123225 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Community Healthcare | Mental Health | Past | Accepting new patients |
| Cascade Evaluation and Treatment Center | Past | 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.
-
- Community/Behavioral Health Agency
- Centralia, WA
- NPI 1619068624
Mental Health
-
- Mental Illness Community Based Residential Treatment Facility
- Centralia, WA
- NPI 1760979298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1982149084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 JONQUIL LN NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028331",
"telephone_number": "601-810-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1822 JONQUIL LN NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028331",
"telephone_number": "601-810-8760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "TARRAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-27",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61123225",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.