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BONITA JOY AVERY BA
NPI 1780941278
Counselor - Mental Health in Idaho Falls, ID

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
1740 E 17TH ST, IDAHO FALLS, ID 83404(208) 346-8866 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bonita Joy Avery Ba NPPES

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

BONITA JOY AVERY BA (NPI 1780941278) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LCPC-5709) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1780941278
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBONITA JOY AVERYCredential: BA
Location Address1740 E 17TH STIdaho Falls, ID 83404-6375
Mailing Address2705 E 17th StAmmon, ID 83406-6601 · (208) 346-7500
Phone(208) 346-8866
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 20, 2012
Last NPPES UpdateFebruary 14, 2019
✔ NPI 1780941278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-5709
1740 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bonita Joy Avery Ba 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 ID3971948092
PECOS Enrollment IDI20240228004241
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 Reassignment

Medicare enrollment records show Bonita Avery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pearl Health Clinic
1.0 mi
Mental Health
2705 E 17TH ST
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 45 clinicians in this Medicare group
NPI 1447426465 (208) 346-7500

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 20

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

LISA J RUSSOM LSW
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 313-8355
ROBERT HOMAN VOSE B.A.
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 524-1278
BRION L BOLDT BA
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-8866
MISS ITZEL VALENCIA BS
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
CHRISTINA LEMEK BS
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 709-0362
KARLY DAWN BINGHAM B.S.
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
DR. ALICE MARIE GRAY PSYD
Counselor (Mental Health)
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (310) 365-3762
JENNIFER A HUNTSMAN BA
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500

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 Avery's NPI number?

The NPI number for Bonita Avery is 1780941278. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Bonita Avery located?

Bonita Avery practices at 1740 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 346-8866.

What is Bonita Avery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bonita Avery enrolled in Medicare?

Yes. Bonita Avery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bonita Avery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonita Avery reassigns Medicare benefits to Pearl Health Clinic (Ammon, ID). The 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 Bonita Avery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bonita Avery accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Bonita Avery 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 Avery was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.