PENNY S MCCALLISTER-VON BONIN LPCC
NPI 1063022457
Counselor - Professional in Albuquerque, NM
About Penny S Mccallister-von Bonin Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENNY S MCCALLISTER-VON BONIN LPCC (NPI 1063022457) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0212541) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Penny S Mccallister-von Bonin Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Penny Mccallister-von Bonin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87110
- Reassigned Medicare billing, New Mexico enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Penny Mccallister-von Bonin's NPI number?
The NPI number for Penny Mccallister-von Bonin is 1063022457. It was assigned to this individual provider in the NPPES registry on July 31, 2020.
Where is Penny Mccallister-von Bonin located?
Penny Mccallister-von Bonin practices at 2440 Louisiana Blvd NE Ste 300, Albuquerque, NM 87110. The listed phone number is (505) 302-1660.
What is Penny Mccallister-von Bonin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Penny Mccallister-von Bonin enrolled in Medicare?
Yes. Penny Mccallister-von Bonin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Penny Mccallister-von Bonin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Penny Mccallister-von Bonin reassigns Medicare benefits to The Enhancement Center, P.C. (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Penny Mccallister-von Bonin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Penny Mccallister-von Bonin was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Penny S Mccallister-Von Bonin, LPCC · NPI 1063022457
Professional provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 31, 2020.
## Identity
- **NPI:** 1063022457 (Entity type: Individual)
- **Enumerated:** July 31, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CCMH0212541 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2440 LOUISIANA BLVD NE STE 300, Albuquerque, NM 87110-4394
- **Phone:** (505) 302-1660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Enhancement Center, P.C. (NPI 1235237801, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063022457) · Data from the CMS NPPES public registry.