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DORA BONILLA LPC
NPI 1962058875
Counselor - Professional in Denver, CO

Active since August 15, 2019PECOS EnrolledAccepts Medicare Assignment
777 BANNOCK ST, DENVER, CO 80204(303) 436-4949 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2025, Sep 9, 2021, Aug 11, 2021 and 1 more (4 updates tracked since 2019).

About Dora Bonilla Lpc NPPES

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

DORA BONILLA LPC (NPI 1962058875) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0017307) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962058875
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDORA BONILLACredential: LPC
Location Address777 BANNOCK STDenver, CO 80204-4597
Mailing Address777 Bannock StDenver, CO 80204-4597 · (303) 436-4949
Phone(303) 436-4949
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 15, 2019
Last NPPES UpdateJanuary 7, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1962058875 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 CO · LPC.0017307
777 BANNOCK ST, Denver, CO 80204
Open in Google Maps ↗

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

Dora Bonilla Lpc 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 ID3678926680
PECOS Enrollment IDI20240125004207
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 Dora Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority
Same address
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000

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.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS
Clinical Nurse Specialist (Psychiatric/Mental Health)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6630
RYAN DEAN LATERZA M.D.
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
BARBARA E ANDERSON NP
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-0340
PHILIP ANDREOLI D.O.
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-4949
JESSICA RENEE KUDLOCK LCSW
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-7220
ELIZABETH PERKINS-PRIDE
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KIRSTEN ERIKSEN PA-C
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KATHRYN IRENE GARNER MD, MPH
Family Medicine
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000

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 Dora Bonilla's NPI number?

The NPI number for Dora Bonilla is 1962058875. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Where is Dora Bonilla located?

Dora Bonilla practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-4949.

What is Dora Bonilla's specialty?

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

Is Dora Bonilla enrolled in Medicare?

Yes. Dora 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 Dora Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dora Bonilla reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). 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 Dora Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dora Bonilla was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.