MS. SARA INES BONILLA (NPI# 1902956089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902956089 |
| Entity Type | Individual |
| Full Name | MS. SARA INES BONILLA |
| Credential | LCPC |
| Practice Address |
3800 Frederick Ave Baltimore MD 21229-3618 |
| Mailing Address |
7395 Hickory Log Cir Columbia MD 21045-5028 |
| Practice Telephone | 4102331400 |
| Practice Fax Number | 4102335412 |
| Mailing Telephone | 4104406465 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC1881 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871978726 | Sara Bonilla | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2015-07-21 |
| Street Address |
3800 FREDERICK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508811936 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2006-05-24 |
| 1740811587 | Luciana Lavorato | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2020-01-30 |
| 1568019701 | Amy Linde | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2019-08-22 |
| 1164980074 | Shanice Hackley | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2019-03-10 |
| 1578076634 | Chimene Kiswey Diomi | Registered Nurse | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2017-11-13 |
| 1831626936 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2017-05-19 |
| 1407398944 | Paul Wells | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-11-15 |
| 1508214073 | Amy Armstrong | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-05-25 |
| 1841647872 | Mitchell Cohen | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-05-19 |
| 1457717829 | Josh Wilson | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897685 | Christlyn Ariel Mccaskill | Counselor | 5525 Harford Rd, Baltimore, MD 21214-2233 | 2020-09-24 |
| 1730797283 | Sheila Williams | Counselor | 5601 Loch Raven Blvd Ste 105, Baltimore, MD 21239-2945 | 2020-07-21 |
| 1144838889 | Mb Therapeutic Center, LLC | Counselor | 218 E Lexington St Ste 700, Baltimore, MD 21202-3518 | 2020-07-20 |
| 1538782305 | Matters of The Mind LLC | Counselor | 1645 Ridgely St Fl 2, Baltimore, MD 21230-2050 | 2020-05-27 |
| 1912529595 | Anna Coleen Mahr | Counselor | 9700 Old Harford Rd, Baltimore, MD 21234-1140 | 2020-05-18 |
| 1902428352 | Bridgette Eaton | Counselor | 3501 Saint Paul St Apt 147, Baltimore, MD 21218-2726 | 2020-05-08 |
| 1447870514 | Diane Moses | Counselor | 1721 Pennsylvania Ave # 205, Baltimore, MD 21217-3119 | 2020-04-19 |
| 1649804840 | Brittany Michelle Chadsey | Counselor | 1 N Charles St Ste 602, Baltimore, MD 21201-3732 | 2020-02-26 |
| 1467084871 | Amanda Steinhorn, LLC | Counselor | 7225 Brookfalls Ter, Baltimore, MD 21209-1646 | 2020-02-04 |
| 1043850035 | Rebecca Blank | Counselor | 711 W 40th St Ste 425, Baltimore, MD 21211-2135 | 2020-01-08 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.