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Bonny Beach, LISAC
NPI 1578999041 · Counselor · Phoenix, AZ
Bonny Beach, LISAC is a Counselor provider in Phoenix, AZ (NPI 1578999041).
Provider details
- NPI number
- 1578999041
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LISAC
- Sex
- Female
- Sole proprietor
- No
- License
- LISAC 11484 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
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
1648 S 16th St
Phoenix, AZ 85034-5340
Phone: (602) 448-0935
Fax: (602) 532-7202
Street-level locationGet directions
Mailing address
4205 N 2nd Dr
Phoenix, AZ 85013-3027
Registry dates
- Enumerated
- 2013-09-17
- Last updated
- 2013-09-17
Frequently asked questions
- What is Bonny Beach's NPI number?
- Bonny Beach's National Provider Identifier (NPI) is 1578999041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonny Beach's specialty?
- Bonny Beach is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Bonny Beach located?
- Bonny Beach's practice location on file with NPPES is 1648 S 16th St, Phoenix, AZ 85034-5340.
- What is Bonny Beach's phone number?
- The practice phone number listed in the NPPES registry for Bonny Beach is (602) 448-0935.
- Is Bonny Beach's NPI active?
- Yes — Bonny Beach's NPI (1578999041) is active in the NPPES registry as of the last update on 2013-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.