MICAH BONNER MA, LADAC-II
NPI 1639052251
Counselor - Addiction (Substance Use Disorder) in Newport, TN

Q: What is Micah Bonner's NPI number?

The NPI number for Micah Bonner is 1639052251. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Q: What is Micah Bonner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Micah Bonner was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 30, 2025

980 W HIGHWAY 25 70, NEWPORT, TN 37821(865) 805-0567(423) 205-4023 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Micah Bonner Ma, Ladac-ii NPPES

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

MICAH BONNER MA, LADAC-II (NPI 1639052251) is an individual addiction (substance use disorder) provider in Newport, Tennessee and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1639052251

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMICAH BONNERCredential: MA, LADAC-II

Location Address980 W HIGHWAY 25 70Newport, TN 37821-9006

Mailing Address8500 Olde Colony Trl Apt 11Knoxville, TN 37923-6227

Phone(865) 805-0567

Fax(423) 205-4023

Sole ProprietorYes

Enumeration DateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1639052251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

980 W HIGHWAY 25 70, Newport, TN 37821

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Other Providers at the Same Location NPPES

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

RESTORATION HOUSE MINISTRIES

Substance Abuse Rehabilitation Facility

980 W HIGHWAY 25 70
NEWPORT, TN 37821

Cocke County (865) 805-0567

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 Micah Bonner's NPI number?

The NPI number for Micah Bonner is 1639052251. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Micah Bonner located?

Micah Bonner practices at 980 W Highway 25 70, Newport, TN 37821. The listed phone number is (865) 805-0567.

What is Micah Bonner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Micah Bonner was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.