Bon Creative Change, LLC
NPI 1366954968ActiveOrganization· Counselor, Professional· Rio Rancho, NM
Counselor, Professional in Rio Rancho, New Mexico, registered in NPPES in November 2017. The authorized official on file is Bonnie J. Boucher, LPCC, Owner/Director.
Overview
| NPI | 1366954968 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2017 |
| Last updated in NPPES | Jan 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 0124121 | NM |
| Counselor, Professional | 101YP2500X | O124121 | NM |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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