KATHRYN BONILLA MA
NPI 1922521301
Counselor - Mental Health in Fort Collins, CO

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment
2629 REDWING RD STE 130, FORT COLLINS, CO 80526(970) 404-1220 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Jul 17, 2019, Jul 18, 2017 (3 updates tracked since 2017).

About Kathryn Bonilla Ma NPPES

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

KATHRYN BONILLA MA (NPI 1922521301) is an individual mental health provider in Fort Collins, Colorado and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922521301
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN BONILLACredential: MA
Location Address2629 REDWING RD STE 130Fort Collins, CO 80526-2879
Mailing Address2629 Redwing Rd Ste 130Fort Collins, CO 80526-2879 · (970) 404-1220
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 18, 2017
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1922521301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2629 REDWING RD STE 130, Fort Collins, CO 80526

Accepted 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

Kathryn Bonilla Ma 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 ID244679397
PECOS Enrollment IDI20240422002872
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 Reassignments

3

Medicare enrollment records show Kathryn Bonilla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
2629 REDWING RD STE 130
Fort Collins, CO 80526
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
General Acute Care Hospital
1024 S LEMAY AVE
Fort Collins, CO 80524
  • Reassigned Medicare billing, Colorado enrollment
  • 162 clinicians in this Medicare group
General Practice
2695 ROCKY MOUNTAIN AVE STE 110
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group

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 5

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

Counselor (Mental Health)
2629 REDWING RD STE 130
FORT COLLINS, CO 80526
Counselor (Professional)
2629 REDWING RD STE 130
FORT COLLINS, CO 80526
Counselor (Professional)
2629 REDWING RD STE 130
FORT COLLINS, CO 80526
Counselor (Mental Health)
2629 REDWING RD STE 130
FORT COLLINS, CO 80526
Counselor (Professional)
2629 REDWING RD STE 130
FORT COLLINS, CO 80526

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 Kathryn Bonilla's NPI number?

The NPI number for Kathryn Bonilla is 1922521301. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Kathryn Bonilla located?

Kathryn Bonilla practices at 2629 Redwing Rd Ste 130, Fort Collins, CO 80526. The listed phone number is (970) 404-1220.

What is Kathryn Bonilla's specialty?

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

Is Kathryn Bonilla enrolled in Medicare?

Yes. Kathryn 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 organizations bill Medicare for Kathryn Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Bonilla reassigns Medicare benefits to 3 organizations: Integrative Therapies Of Co LLC (Fort Collins, CO), Poudre Valley Health Care Inc. (Fort Collins, CO) and Poudre Valley Medical Group, LLC (Loveland, CO). Each 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 Kathryn Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Bonilla accept?

Health plans from Select Health list Kathryn 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 Kathryn Bonilla was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.