HEATHER JO BONITZ-MOORE ATR-BC, LPC, IMH-E
NPI 1821165788
Counselor - Professional in Bozrah, CT

Q: What is Heather Bonitz-moore's NPI number?

The NPI number for Heather Bonitz-moore is 1821165788. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Heather Bonitz-moore's specialty?

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

Active since November 29, 2006

46 LEBANON RD, BOZRAH, CT 06334(860) 617-4082(860) 617-4082 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 13, 2018 (2 updates tracked since 2018).

On this page

About Heather Jo Bonitz-moore Atr-bc, Lpc, Imh-e NPPES

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

HEATHER JO BONITZ-MOORE ATR-BC, LPC, IMH-E (NPI 1821165788) is an individual professional provider in Bozrah, Connecticut, licensed in Connecticut (001445) and active in the NPI registry since November 2006. She maintains a secondary practice location in Waterford.

NPPES Registry Identity

NPI1821165788

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameHEATHER JO BONITZ-MOORECredential: ATR-BC, LPC, IMH-E

Location Address46 LEBANON RDBozrah, CT 06334-1116

Mailing Address195 Fowler RdLebanon, CT 06249-2503 · (860) 617-4082

Phone(860) 617-4082

Fax(860) 617-4082

Sole ProprietorYes

Enumeration DateNovember 29, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1821165788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CT · 001445

46 LEBANON RD, Bozrah, CT 06334

Open in Google Maps ↗

Secondary Practice Location 1

Location 1163 Boston Post RdWaterford, CT 06385-2809 · Phone (860) 444-8774 · Fax (860) 444-8776

Other Identifiers 1

Medicaid004271433CT

Other Providers at the Same Location NPPES 2

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

SACRED SPACE COUNSELING AND WELLNESS LLC

Counselor (Professional)

46 LEBANON RD
BOZRAH, CT 06334

Southeastern Connecticut Planning Region (860) 617-4082

KIMBERLY L ABRAM LCSW

Social Worker

46 LEBANON RD
BOZRAH, CT 06334

Southeastern Connecticut Planning Region (860) 788-5462

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 Heather Bonitz-moore's NPI number?

The NPI number for Heather Bonitz-moore is 1821165788. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Heather Bonitz-moore located?

Heather Bonitz-moore practices at 46 Lebanon Rd, Bozrah, CT 06334. The listed phone number is (860) 617-4082.

What is Heather Bonitz-moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Heather Bonitz-moore was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.