BONITA JACKSON-AMOS LPC
NPI 1124156179
Counselor - Professional in Jonesboro, AR

Q: What is Bonita Jackson-amos's NPI number?

The NPI number for Bonita Jackson-amos is 1124156179. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Bonita Jackson-amos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since March 01, 2007PECOS Enrolled

2707 BROWNS LN, JONESBORO, AR 72401(870) 972-4939(870) 972-4911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Bonita Jackson-amos Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONITA JACKSON-AMOS LPC (NPI 1124156179) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P9312036) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124156179

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBONITA JACKSON-AMOSCredential: LPC

Location Address2707 BROWNS LNJonesboro, AR 72401-7213

Mailing Address2707 Browns LnJonesboro, AR 72401-7213 · (870) 972-4939 · Fax (870) 972-4911

Phone(870) 972-4939

Fax(870) 972-4911

Sole ProprietorYes

Enumeration DateMarch 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124156179 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 AR · P9312036

2707 BROWNS LN, Jonesboro, AR 72401

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonita Jackson-amos Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMRA THOMAS

Case Manager/Care Coordinator