MR. NATHANIEL BONOVITZ LCPC
NPI 1154586550
Counselor - Mental Health in Eagle, ID
About Mr. Nathaniel Bonovitz Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NATHANIEL BONOVITZ LCPC (NPI 1154586550) is an individual mental health provider in Eagle, Idaho, licensed in Idaho (LPC) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Nathaniel Bonovitz Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAGLE, ID 83616
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 Nathaniel Bonovitz's NPI number?
The NPI number for Nathaniel Bonovitz is 1154586550. It was assigned to this individual provider in the NPPES registry on July 24, 2008.
Where is Nathaniel Bonovitz located?
Nathaniel Bonovitz practices at 1151 E Iron Eagle Dr, Eagle, ID 83616. The listed phone number is (484) 557-5672.
What is Nathaniel Bonovitz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nathaniel Bonovitz enrolled in Medicare?
Yes. Nathaniel Bonovitz is registered in the Medicare PECOS enrollment system.
What insurance does Nathaniel Bonovitz accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Nathaniel Bonovitz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nathaniel Bonovitz was last updated on June 12, 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.
# Mr. Nathaniel Bonovitz, LCPC · NPI 1154586550
Mental Health provider in Eagle, Idaho. Individual provider, active in the CMS NPPES registry since July 24, 2008.
## Identity
- **NPI:** 1154586550 (Entity type: Individual)
- **Enumerated:** July 24, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1151 E IRON EAGLE DR, Eagle, ID 83616-6854
- **Phone:** (484) 557-5672
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** June 12, 2023
- **Other identifiers:** Other LPC #3820 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1154586550) · Data from the CMS NPPES public registry.