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MS. SARA INES BONILLA LMHC, CCM
NPI 1902956089
Counselor - Mental Health in Medford, MA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
10 CABOT RD STE 205, MEDFORD, MA 02155(781) 202-6524 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Sara Ines Bonilla Lmhc, Ccm NPPES

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

MS. SARA INES BONILLA LMHC, CCM (NPI 1902956089) is an individual mental health provider in Medford, Massachusetts, licensed in Massachusetts (LMHC7737) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1902956089
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SARA INES BONILLACredential: LMHC, CCM
Location Address10 CABOT RD STE 205Medford, MA 02155-5173
Mailing Address22 9th St Apt 104Medford, MA 02155-5139 · (781) 816-3130
Phone(781) 202-6524
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 11, 2007
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1902956089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · LMHC7737
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CCM4242685 (MA)
10 CABOT RD STE 205, Medford, MA 02155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Ms. Sara Ines Bonilla Lmhc, Ccm 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 ID5294210407
PECOS Enrollment IDI20260326000125
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 Sara Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Family Psychological Services, PLLC
16 mi
Psychologist
89 ACCESS RD, SUITE 24
Norwood, MA 02062
  • Reassigned Medicare billing, Massachusetts enrollment
  • 349 clinicians in this Medicare group
NPI 1912987181 (781) 551-0999

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 8

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

DANIELLE MAKOSKY
Social Worker (Clinical)
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (781) 551-0999
HOLLY BROWN
Counselor (Mental Health)
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (781) 202-6524
KAYLA DAISY HO OSTER LICSW
Social Worker (Clinical)
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (781) 551-0999
SHANNON FOLEY LMHC
Counselor (Mental Health)
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (781) 202-6524
DENISE HANSEN
Social Worker (Clinical)
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (617) 259-1895
YAEL S KATZ LMHC
Counselor (Mental Health)
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (617) 912-7500
JESSICA PEPIN RN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (781) 202-6524
LEONARD LEROY HALL
Student in an Organized Health Care Education/Training Program
10 CABOT RD STE 205
MEDFORD, MA 02155
Middlesex County (617) 259-1895

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 Sara Bonilla's NPI number?

The NPI number for Sara Bonilla is 1902956089. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Sara Bonilla located?

Sara Bonilla practices at 10 Cabot Rd Ste 205, Medford, MA 02155. The listed phone number is (781) 202-6524.

What is Sara Bonilla's specialty?

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

Is Sara Bonilla enrolled in Medicare?

Yes. Sara Bonilla 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 Sara Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Bonilla reassigns Medicare benefits to Child And Family Psychological Services, PLLC (Norwood, MA). 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 Sara Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Bonilla accept?

Health plans from Harvard Pilgrim Health Care list Sara Bonilla 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 Sara Bonilla was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.