Nathaniel Bonovitz, LCPC
NPI 1154586550ActiveIndividual· Counselor, Mental Health· Eagle, ID
Counselor, Mental Health (LCPC) in Eagle, Idaho, licensed in ID, with an NPI issued in July 2008. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1154586550 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | No |
| NPI issued | Jul 24, 2008 |
| Last updated in NPPES | Jun 12, 2023 |
| Certified by provider | Jun 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | LPC | ID |
| Counselor, Mental Health | 101YM0800X | 4869 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (ID) |
|---|
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