Ms. Sara I Bonilla, LMHC, CCM
Counselor, Mental Health in Medford, Massachusetts
1902956089- Practice location
- 10 Cabot RD Ste 205, Medford, MA 02155-5173
- Phone
- 781-202-6524
- Fax
- —
- Last updated
- December 16, 2024
Sara Ines Bonilla is a Counselor, Mental Health based in Medford, MA. Sara Ines Bonilla practices in Medford, MA and has the professional credentials of LMHC, CCM. The NPI Number for Sara Ines Bonilla is 1902956089 and holds a License No. CCM4242685 (MA). The current practice location address for Sara Ines Bonilla is 10 Cabot RD Ste 205, Medford, MA 02155-5173 and can be reached out via phone at 781-202-6524.
Provider Profile Details
- NPI Number
- 1902956089
- Provider Name
- Sara Ines Bonilla
- Credential
- LMHC, CCM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Cabot RD Ste 205, Medford, MA 02155-5173
- Phone Number
- 781-202-6524
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 11, 2007
- Last Update Date
- December 16, 2024
- Certification Date
- December 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Cabot RD Ste 205
Medford, MA 02155-5173 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5173
- Phone Number
- 781-202-6524
Provider Business Mailing Address Details
- Address
- 22 9TH St Apt 104
Medford, MA 02155-5139 - City
- Medford
- State
- MA
- Zip
- 02155-5139
- Phone Number
- 781-816-3130
License Information
- License Number (1)
- CCM4242685
- License State (1)
- MA
- Taxonomy (1)
- Case Manager/Care Coordinator · 171M00000X
- License Number (2)
- LMHC7737
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Sara I Bonilla, LMHC, CCM?
The NPI number of Ms. Sara I Bonilla, LMHC, CCM is 1902956089. It was assigned on January 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Sara I Bonilla, LMHC, CCM?
Ms. Sara I Bonilla, LMHC, CCM is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number CCM4242685.
Where does Ms. Sara I Bonilla, LMHC, CCM practice?
The practice location is 10 Cabot RD Ste 205, Medford, MA 02155-5173. The office can be reached at 781-202-6524 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902956089 directly on the NPPES registry website.