KAILLY ALLYCE BONNETT MS LADC LPCC
NPI 1154852309
Counselor - Mental Health in Saint Cloud, MN

Q: What is Kailly Bonnett's NPI number?

The NPI number for Kailly Bonnett is 1154852309. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Q: What is Kailly Bonnett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kailly Bonnett was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 21, 2017PECOS Enrolled

911 18TH ST N, SAINT CLOUD, MN 56303(320) 650-1550 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2020, Mar 21, 2017 (2 updates tracked since 2017).

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About Kailly Allyce Bonnett Ms Ladc Lpcc NPPES

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

KAILLY ALLYCE BONNETT MS LADC LPCC (NPI 1154852309) is an individual mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (01951) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Litchfield, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154852309

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKAILLY ALLYCE BONNETTCredential: MS LADC LPCC

Location Address911 18TH ST NSaint Cloud, MN 56303-1203

Mailing Address126 17th Street CtSauk Rapids, MN 56379-2754 · (218) 349-9975

Phone(320) 650-1550

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 21, 2017

Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration

✔ NPI 1154852309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 01951

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304645 (MN)

911 18TH ST N, Saint Cloud, MN 56303

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Secondary Practice Location 1

Location 11326 E Ripley StLitchfield, MN 55355-4525 · Phone (320) 593-0440 ext. 20

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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)

Kailly Allyce Bonnett Ms Ladc Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971014135

PECOS Enrollment IDI20250616000145

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 18

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

KAREN BECKER LICSW

Social Worker