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JACKELINE MELANY RODRIGUEZ-BONILLA CPSS
NPI 1407705064
Peer Specialist in Durham, NC

Active since January 27, 2026
309 CRUTCHFIELD ST, DURHAM, NC 27704(602) 650-1212 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackeline Melany Rodriguez-bonilla Cpss NPPES

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

JACKELINE MELANY RODRIGUEZ-BONILLA CPSS (NPI 1407705064) is an individual peer specialist in Durham, North Carolina, licensed in North Carolina (2025-10998-01) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1407705064
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACKELINE MELANY RODRIGUEZ-BONILLACredential: CPSS
Location Address309 CRUTCHFIELD STDurham, NC 27704-2754
Mailing Address11361 N 99th Ave Ste 402Peoria, AZ 85345-5459 · (602) 650-1212
Phone(602) 650-1212
Sole ProprietorNo
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1407705064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NC · 2025-10998-01
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
309 CRUTCHFIELD ST, Durham, NC 27704
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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.

LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 797-1943
MS. TERESA FAYE CHEEKS BS, BA, CSAC
Counselor (Addiction (Substance Use Disorder))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 797-2534
MRS. SHARON LORETTE LIPP
Counselor (Professional)
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 797-2534
TORI CORLEY MA, LCASA
Counselor (Addiction (Substance Use Disorder))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 560-7305
KYSHA THOMPSON
Counselor (Addiction (Substance Use Disorder))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 797-2534
DR. DONALD MELVIN AYTCH JR. PH.D.
Psychologist
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 560-7305
MR. THEODORE ROOSEVELT BUSH III
Social Worker (Clinical)
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 560-7305
MR. WARD PARKER BAGGETT LCSW
Social Worker (Clinical)
309 CRUTCHFIELD ST
DURHAM, NC 27704
Durham County (919) 560-7305

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 Jackeline Rodriguez-bonilla's NPI number?

The NPI number for Jackeline Rodriguez-bonilla is 1407705064. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Jackeline Rodriguez-bonilla located?

Jackeline Rodriguez-bonilla practices at 309 Crutchfield St, Durham, NC 27704. The listed phone number is (602) 650-1212.

What is Jackeline Rodriguez-bonilla's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jackeline Rodriguez-bonilla was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.