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SHAD BONSER AAC
NPI 1124728506
Counselor in Longview, WA

Active since March 06, 2023
1408 12TH AVE, LONGVIEW, WA 98632(360) 998-3050(360) 200-6736 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shad Bonser Aac NPPES

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

SHAD BONSER AAC (NPI 1124728506) is an individual counselor in Longview, Washington, licensed in Washington (61411913) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1124728506
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSHAD BONSERCredential: AAC
Location Address1408 12TH AVELongview, WA 98632-3822
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 998-3050
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1124728506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · 61411913
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedPeer SpecialistTaxonomy 175T00000X · License 61411913 (WA)
1408 12TH AVE, Longview, WA 98632
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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.

WHITNEY ROBERTS AAS, AAC
Counselor
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
TESS M HOWARD AAC, CPC
Peer Specialist
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
ELAYSIA BARKER AAC
Counselor
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
GENESSA V GLIDDEN AAC
Counselor
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
MELODY D CARR BA, AAC
Counselor
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
CHRISTOPHER MUNSON CPSS
Peer Specialist
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
EMILY H KANKELBORG AAC, CPC
Peer Specialist
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
AMIE M HARRIS AAC, CPC
Peer Specialist
1408 12TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050

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 Shad Bonser's NPI number?

The NPI number for Shad Bonser is 1124728506. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Shad Bonser located?

Shad Bonser practices at 1408 12th Ave, Longview, WA 98632. The listed phone number is (360) 998-3050.

What is Shad Bonser's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shad Bonser was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.