NICHOLAS BONACCI
NPI 1437658697
Counselor - Professional in Round Rock, TX

Active since February 02, 2018PECOS Enrolled
1801 RED BUD LN STE B215, ROUND ROCK, TX 78664(413) 862-9492(815) 550-8746 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2026, Nov 29, 2025, Jan 15, 2019 and 1 more (4 updates tracked since 2018).

About Nicholas Bonacci NPPES

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

NICHOLAS BONACCI (NPI 1437658697) is an individual professional provider in Round Rock, Texas, licensed in Texas (75222) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1437658697
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLAS BONACCI
Location Address1801 RED BUD LN STE B215Round Rock, TX 78664-3813
Mailing Address1801 Red Bud Ln Ste B215Round Rock, TX 78664-3813 · (413) 862-9492 · Fax (815) 550-8746
Fax(815) 550-8746
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 2, 2018
Last NPPES UpdateMay 30, 20264 updates tracked since enumeration
NPPES CertifiedMay 30, 2026
✔ NPI 1437658697 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 TX · 75222✔ Licensed in AK · 231648
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License TPMC7159 (FL), 015778 (NY)
1801 RED BUD LN STE B215, Round Rock, TX 78664

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Bonacci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375083041
PECOS Enrollment IDI20240924001125
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicholas Bonacci reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
1801 RED BUD LN STE B215
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
Professional
3003 DAWN DR STE 101
Georgetown, TX 78628
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: The Shepherd's New Pathways LLC
  • 31 clinicians in this Medicare group
Counseling
112 ABELIA DR
Fate, TX 75189
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
1801 RED BUD LN STE B215
ROUND ROCK, TX 78664
Psychologist (Clinical)
1801 RED BUD LN STE B215
ROUND ROCK, TX 78664
Psychologist (Clinical)
1801 RED BUD LN STE B215
ROUND ROCK, TX 78664

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 Nicholas Bonacci's NPI number?

The NPI number for Nicholas Bonacci is 1437658697. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Where is Nicholas Bonacci located?

Nicholas Bonacci practices at 1801 Red Bud Ln Ste B215, Round Rock, TX 78664. The listed phone number is (413) 862-9492.

What is Nicholas Bonacci's specialty?

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

Is Nicholas Bonacci enrolled in Medicare?

Yes. Nicholas Bonacci is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Bonacci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Bonacci reassigns Medicare benefits to 3 organizations: In Service Of Thee PLLC (Round Rock, TX), The Shepherds New Pathways, LLC (Georgetown, TX) and Faithful Therapy Tx Corporation (Fate, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Bonacci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Bonacci accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Nicholas Bonacci 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 Nicholas Bonacci was last updated on May 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.