MS. EBONY NICOLE BONNER LMHC
NPI 1245494459
Counselor - Mental Health in Tampa, FL

Active since July 16, 2008PECOS Enrolled
16578 N DALE MABRY HWY, TAMPA, FL 33618(813) 412-5504(813) 412-5525 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ebony Nicole Bonner Lmhc NPPES

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

MS. EBONY NICOLE BONNER LMHC (NPI 1245494459) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH9497) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245494459
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. EBONY NICOLE BONNERCredential: LMHC
Location Address16578 N DALE MABRY HWYTampa, FL 33618-1325
Mailing Address4310 Metro Pkwy Ste 205Fort Myers, FL 33916-9416 · (239) 236-8784 · Fax (239) 790-2624
Fax(813) 412-5525
Sole ProprietorYes
Enumeration DateJuly 16, 2008
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
NPI 1245494459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in FL · MH9497 Licensed in FL · 9497
16578 N DALE MABRY HWY, Tampa, FL 33618

Other Names 1

Former Name (1)Ebony Nicole Brown Lmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Ebony Nicole Bonner Lmhc 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 14

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

Counselor (Mental Health)
16578 N DALE MABRY HWY
TAMPA, FL 33618
Nurse Practitioner (Psychiatric/Mental Health)
16578 N DALE MABRY HWY
TAMPA, FL 33618
Nurse Practitioner (Psychiatric/Mental Health)
16578 N DALE MABRY HWY
TAMPA, FL 33618
Health Maintenance Organization
16578 N DALE MABRY HWY
TAMPA, FL 33618
Counselor (Mental Health)
16578 N DALE MABRY HWY
TAMPA, FL 33618
Counselor (Mental Health)
16578 N DALE MABRY HWY
TAMPA, FL 33618
Counselor (Mental Health)
16578 N DALE MABRY HWY
TAMPA, FL 33618
Counselor (Mental Health)
16578 N DALE MABRY HWY
TAMPA, FL 33618

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 Ebony Bonner's NPI number?

The NPI number for Ebony Bonner is 1245494459. It was assigned to this individual provider in the NPPES registry on July 16, 2008. The provider is also known as Ebony Nicole Brown Lmhc.

Where is Ebony Bonner located?

Ebony Bonner practices at 16578 N Dale Mabry Hwy, Tampa, FL 33618. The listed phone number is (813) 412-5504.

What is Ebony Bonner's specialty?

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

Is Ebony Bonner enrolled in Medicare?

Yes. Ebony Bonner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ebony Bonner was last updated on June 30, 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.