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PENNY S MCCALLISTER-VON BONIN LPCC
NPI 1063022457
Counselor - Professional in Albuquerque, NM

Active since July 31, 2020PECOS EnrolledAccepts Medicare Assignment
2440 LOUISIANA BLVD NE STE 300, ALBUQUERQUE, NM 87110(505) 302-1660 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1063022457
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePENNY S MCCALLISTER-VON BONINCredential: LPCC
Location Address2440 LOUISIANA BLVD NE STE 300Albuquerque, NM 87110-4394
Mailing Address624 Solar Rd NwAlbuquerque, NM 87107-5744 · (505) 321-3362
Phone(505) 302-1660
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1063022457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CCMH0212541
2440 LOUISIANA BLVD NE STE 300, Albuquerque, NM 87110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4789023219
PECOS Enrollment IDI20240417001762
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

AMANDA MARIA SEDILLO LMSW
Social Worker
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 302-1660
ELIZABETH A PFEFFER
Counselor (Mental Health)
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 302-1660
GLENDA GEORGIA MURPHY LPCC
Counselor
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 302-1660
KASSANDRA YLISSA RIVERA LMSW
Social Worker
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 302-1660
STEPHANIE MOLINA LMSW
Social Worker
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 916-2007
KAREN REBECCA BACA LMSW
Counselor (Mental Health)
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 302-1660
JULIENNE ALICIA CHRISTOPHER MSW
Social Worker (Clinical)
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 302-1660
MRS. KAYLA MARIE RICHARDS
Social Worker
2440 LOUISIANA BLVD NE STE 300
ALBUQUERQUE, NM 87110
Bernalillo County (505) 302-1660

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.

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.