BONNIE STANFORD
NPI 1679016455
Counselor in South Daytona, FL

Q: What is Bonnie Stanford's NPI number?

The NPI number for Bonnie Stanford is 1679016455. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Q: What is Bonnie Stanford's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Stanford was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 28, 2016PECOS EnrolledAccepts Medicare Assignment

2400 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119(386) 304-7600 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bonnie Stanford NPPES

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

BONNIE STANFORD (NPI 1679016455) is an individual counselor in South Daytona, Florida and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1679016455

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameBONNIE STANFORD

Location Address2400 S RIDGEWOOD AVESouth Daytona, FL 32119-3097

Mailing Address918 3rd StPort Orange, FL 32129-3206 · (850) 443-6843

Phone(386) 304-7600

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateNovember 28, 2016

✔ NPI 1679016455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2400 S RIDGEWOOD AVE, South Daytona, FL 32119

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bonnie Stanford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193203073

PECOS Enrollment IDI20260202001141

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.

CHILDREN'S HOME SOCIETY OF FLORIDA

Case Management

2400 S RIDGEWOOD AVE, SUITE 32
SOUTH DAYTONA, FL 32119

Volusia County (386) 304-7600

MR. MARCUS ZACHARIAH FOLKES MS

Counselor (Mental Health)

2400 S RIDGEWOOD AVE, SUITE 32
SOUTH DAYTONA, FL 32119

Volusia County (386) 304-7600

GAY NIBERT

Counselor (Mental Health)

2400 S RIDGEWOOD AVE, SUITE 32
SOUTH DAYTONA, FL 32119

Volusia County (386) 304-7600

NATALIE SHERIDAN LMHC

Counselor (Mental Health)