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DR. BONITA MARIE JACKSON-VERGARA LICENSED COUNSELOR
NPI 1316967334
Counselor - Professional in Chesapeake, VA

Active since July 20, 2006PECOS Enrolled
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320(704) 804-9614 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2021, Aug 17, 2021, Aug 14, 2021 (3 updates tracked since 2021).

About Dr. Bonita Marie Jackson-vergara Licensed Counselor NPPES

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

DR. BONITA MARIE JACKSON-VERGARA LICENSED COUNSELOR (NPI 1316967334) is an individual professional provider in Chesapeake, Virginia, licensed in North Carolina (4804) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316967334
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. BONITA MARIE JACKSON-VERGARACredential: LICENSED COUNSELOR
Location Address1545 CROSSWAYS BLVD STE 250Chesapeake, VA 23320-0218
Mailing Address800 Fox Ridge TrlChesapeake, VA 23322-6506 · (704) 804-9614 · Fax (757) 312-9580
Phone(704) 804-9614
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 13, 20213 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1316967334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in NC · 4804✔ Licensed in VA · 0701005902
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0718000386 (VA)
1545 CROSSWAYS BLVD STE 250, Chesapeake, VA 23320
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Secondary Practice Locations 2

Location 111714 Spring Laurel DrCharlotte, NC 28215-4651 · Phone (704) 804-9614 · Fax (980) 938-8480
Location 2209 Research DrChesapeake, VA 23320-5995 · Phone (513) 834-7063

Other Identifiers 1

Medicaid6103317NC

Accepted Insurance

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

Dr. Bonita Marie Jackson-vergara Licensed Counselor 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 20

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

KATHRYN SCHNABEL
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (757) 378-6925
JIANALEE HORNE
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (757) 378-6925
XAVIA HUNT
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (757) 378-6925
MRS. BRIANA NATE' WHITE M.A., LPC
Counselor (Professional)
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (757) 912-5561
2 GETHER WE GROW HOME HEALTHCARE LLC.
Home Health
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (757) 777-3660
MELISSA TYMUL
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (757) 378-6925
MS. JACQUELINE VERETTE PERKINS
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (310) 856-0800
MRS. RUTH YVETTE WOODS LCSW
Social Worker (Clinical)
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Chesapeake City (757) 550-7055

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 Bonita Jackson-vergara's NPI number?

The NPI number for Bonita Jackson-vergara is 1316967334. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Bonita Jackson-vergara located?

Bonita Jackson-vergara practices at 1545 Crossways Blvd Ste 250, Chesapeake, VA 23320. The listed phone number is (704) 804-9614.

What is Bonita Jackson-vergara's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bonita Jackson-vergara enrolled in Medicare?

Yes. Bonita Jackson-vergara is registered in the Medicare PECOS enrollment system.

What insurance does Bonita Jackson-vergara accept?

Health plans from Providence Health Plan and UnitedHealthcare list Bonita Jackson-vergara 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 Bonita Jackson-vergara was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.