CANDICE ROQUEMORE BONNER PSYD, LCP
NPI 1184253957
Psychologist - Clinical in Richmond, VA

Q: What is Candice Roquemore Bonner's NPI number?

The NPI number for Candice Roquemore Bonner is 1184253957. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Candice Roquemore Bonner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment

1000 E BROAD ST, RICHMOND, VA 23219(804) 828-2467(804) 828-6690 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 18, 2023, Aug 28, 2023, Aug 26, 2023 and 1 more (4 updates tracked since 2020).

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About Candice Roquemore Bonner Psyd, Lcp NPPES

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

CANDICE ROQUEMORE BONNER PSYD, LCP (NPI 1184253957) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0810008266) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184253957

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameCANDICE ROQUEMORE BONNERCredential: PSYD, LCP

Location Address1000 E BROAD STRichmond, VA 23219-1930

Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844

Phone(804) 828-2467

Fax(804) 828-6690

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 3, 2020

Last NPPES UpdateOctober 18, 20234 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1184253957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810008266

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

1000 E BROAD ST, Richmond, VA 23219

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Secondary Practice Location 1

Location 18730 Stony Point Pkwy Ste 290Richmond, VA 23235-1959 · Phone (804) 327-1166 · Fax (804) 327-1170

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

Candice Roquemore Bonner Psyd, Lcp 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 ID8820446206

PECOS Enrollment IDI20231122003027

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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