KRISTINA BONANCA LPC
NPI 1104350610
Counselor - Mental Health in Fredericksburg, VA
About Kristina Bonanca Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA BONANCA LPC (NPI 1104350610) is an individual mental health provider in Fredericksburg, Virginia, licensed in Virginia (0701006929) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
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
Kristina Bonanca Lpc 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 Kristina Bonanca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Midlothian, VA 23112
- Reassigned Medicare billing, Virginia enrollment
- 55 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.
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 Kristina Bonanca's NPI number?
The NPI number for Kristina Bonanca is 1104350610. It was assigned to this individual provider in the NPPES registry on April 12, 2017.
Where is Kristina Bonanca located?
Kristina Bonanca practices at 1500 Dunes St Apt 304, Fredericksburg, VA 22401. The listed phone number is (540) 907-9087.
What is Kristina Bonanca's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kristina Bonanca enrolled in Medicare?
Yes. Kristina Bonanca 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 Kristina Bonanca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Bonanca reassigns Medicare benefits to Resilience Counseling & Social Skills Center LLC (Midlothian, VA). 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 Kristina Bonanca'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 Kristina Bonanca was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kristina Bonanca, LPC · NPI 1104350610
Mental Health provider in Fredericksburg, Virginia. Individual provider, active in the CMS NPPES registry since April 12, 2017.
## Identity
- **NPI:** 1104350610 (Entity type: Individual)
- **Enumerated:** April 12, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0701006929 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 DUNES ST, APT 304, Fredericksburg, VA 22401-5018
- **Phone:** (540) 907-9087
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Resilience Counseling & Social Skills Center LLC (NPI 1245724707, Midlothian, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1104350610) · Data from the CMS NPPES public registry.