Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
HEIDI KATHLEEN BONILLA
Active
Individual
HEIDI KATHLEEN BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0014847
CO
101YM0800X
Mental Health Counselor
LPCC.0014847
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891243572
—
CO
Enumeration date
09/12/2016
Last updated
03/19/2019
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