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KRISTINA BONANCA LPC
NPI 1104350610
Counselor - Mental Health in Fredericksburg, VA

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
1500 DUNES ST, APT 304, FREDERICKSBURG, VA 22401(540) 907-9087 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1104350610
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTINA BONANCACredential: LPC
Location Address1500 DUNES ST, APT 304Fredericksburg, VA 22401-5018
Mailing Address1500 Dunes St, Apt 304Fredericksburg, VA 22401-5018 · (540) 907-9087
Phone(540) 907-9087
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 12, 2017
✔ NPI 1104350610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701006929
1500 DUNES ST, Fredericksburg, VA 22401
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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

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.

PECOS PAC ID6103276837
PECOS Enrollment IDI20231221001204
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.

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.

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.