Nicole Bonham, MA
NPI 1336572981 · Professional Counselor · Johnson City, TN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Bonham, MA is a Professional Counselor provider in Johnson City, TN (NPI 1336572981).
Provider details
- NPI number
- 1336572981
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- License
- 3525 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
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
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2013-08-19
- Last updated
- 2015-10-23
Frequently asked questions
- What is Nicole Bonham's NPI number?
- Nicole Bonham's National Provider Identifier (NPI) is 1336572981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Bonham's specialty?
- Nicole Bonham is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Bonham located?
- Nicole Bonham's practice location on file with NPPES is 109 W Watauga Ave, Johnson City, TN 37604-5621.
- What is Nicole Bonham's phone number?
- The practice phone number listed in the NPPES registry for Nicole Bonham is (423) 232-2600.
- Does Nicole Bonham accept Medicare?
- Nicole Bonham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Bonham's NPI active?
- Yes — Nicole Bonham's NPI (1336572981) is active in the NPPES registry as of the last update on 2015-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.