JOSEPH BONNELL LPC CADC 3 NPI 1750774048

NPI Information

NPI: 1750774048
Provider Name: JOSEPH BONNELL, LPC, CADC 3
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1132 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 267-2127
Get Directions

Joseph Bonnell, LPC, CADC 3 is a professional counselor in Portland, OR. Joseph Bonnell, LPC, CADC 3 NPI is 1750774048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1132 SW 13TH AVE
PORTLAND, OR
ZIP 97205-703
Phone: (503) 267-2127

The enumeration date for this NPI number is 3/10/2015 and was last updated on 1/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15-05-06	OREGON	No
2	101YP2500X	Counselor	Professional	C5095	OREGON	Yes
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18-02-29	OREGON	No
4	171M00000X	Case Manager/Care Coordinator				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500181599	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »