KAILLY ALLYCE BONNETT (NPI# 1154852309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154852309 |
| Entity Type | Individual |
| Full Name | KAILLY ALLYCE BONNETT |
| Credential | MS LADC LPCC |
| Practice Address |
911 18th St N Saint Cloud MN 56303-1203 |
| Mailing Address |
126 17th Street Ct Sauk Rapids MN 56379-2754 |
| Practice Telephone | 3206501550 |
| Mailing Telephone | 2183499975 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304645 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
01951 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1326 E Ripley St, Litchfield, MN 553554525 | 3205930440 |
| Street Address |
911 18TH ST N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750444105 | Frances Mary Reichenberger | Social Worker | 911 18th St N, Saint Cloud, MN 56303-1203 | 2006-12-18 |
| 1841793239 | Alyssa Knese | Social Worker | 911 18th St N, Saint Cloud, MN 56303-1203 | 2018-03-13 |
| 1942710249 | Brittany Reinke | Marriage & Family Therapist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2017-10-02 |
| 1548705668 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 911 18th St N, Saint Cloud, MN 56303-1203 | 2016-12-28 |
| 1568869667 | Rachel Petersen | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2014-12-04 |
| 1851712723 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 911 18th St N, Saint Cloud, MN 56303-1203 | 2013-12-19 |
| 1407163090 | Loretta Theresa Steckelberg | Social Worker | 911 18th St N, Saint Cloud, MN 56303-1203 | 2010-09-03 |
| 1194967067 | Judith L Huber | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2009-03-24 |
| 1730376310 | Melinda A. Heinen | Marriage & Family Therapist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2007-09-27 |
| 1659587491 | Terrance Lee Peterson | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923714 | Olivia Rose Chiarelli | Counselor | 616 University Dr S, Saint Cloud, MN 56301-5301 | 2020-08-23 |
| 1376151837 | Abdigani Abdirahman Ahmed | Counselor | 1026 4th St Se Ste 202, Saint Cloud, MN 56304-1371 | 2020-07-21 |
| 1891315602 | Dina Lynn Robinson | Counselor | 416 Riverside Dr Se, Saint Cloud, MN 56304-1030 | 2020-04-22 |
| 1932733284 | Ubbad LLC | Counselor | 50 28th Ave N Ste 50, Saint Cloud, MN 56303-4241 | 2020-02-26 |
| 1588295190 | Stephanie M Cruz, LLC | Counselor | 3282 Canoe Creek Rd, Saint Cloud, FL 34772-9115 | 2020-02-01 |
| 1487296778 | Karla Michelle Diaz | Counselor | 5424 Marylebone Dr, Saint Cloud, FL 34771-3901 | 2019-10-08 |
| 1669021895 | Mary Lynn Widseth | Counselor | 2700 1st St N # 204, Saint Cloud, MN 56303-4256 | 2019-09-10 |
| 1881133536 | Celia Tejeda | Counselor | 3201 Slate Rd, Saint Cloud, FL 34772-6507 | 2017-02-14 |
| 1144673807 | Krista Vosberg, Pllc | Counselor | 2425 42nd Ave S, Saint Cloud, MN 56301-6014 | 2016-07-18 |
| 1932557626 | Sandra Mertune | Counselor | 2911 Sonata Ct, Saint Cloud, FL 34772-6701 | 2016-06-02 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on KAILLY ALLYCE BONNETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.