Bonita Jackson-Vergara, LICENSED COUNSELOR
NPI 1316967334 · Professional Counselor · Chesapeake, VA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonita Jackson-Vergara, LICENSED COUNSELOR is a Professional Counselor provider in Chesapeake, VA (NPI 1316967334).
Provider details
- NPI number
- 1316967334
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LICENSED COUNSELOR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0718000386 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 11714 Spring Laurel DrCharlotte, NC 28215-4651Phone: (704) 804-9614Fax: (980) 938-8480
- 209 Research DrChesapeake, VA 23320-5995Phone: (513) 834-7063
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Frequently asked questions
- What is Bonita Jackson-Vergara's NPI number?
- Bonita Jackson-Vergara's National Provider Identifier (NPI) is 1316967334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonita Jackson-Vergara's specialty?
- Bonita Jackson-Vergara is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Bonita Jackson-Vergara located?
- Bonita Jackson-Vergara's practice location on file with NPPES is 1545 Crossways Blvd Ste 250, Chesapeake, VA 23320-0218.
- What is Bonita Jackson-Vergara's phone number?
- The practice phone number listed in the NPPES registry for Bonita Jackson-Vergara is (704) 804-9614.
- Does Bonita Jackson-Vergara accept Medicare?
- Bonita Jackson-Vergara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bonita Jackson-Vergara's NPI active?
- Yes — Bonita Jackson-Vergara's NPI (1316967334) is active in the NPPES registry as of the last update on 2021-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.