Dominique Bonilla, LAC
Counselor, Mental Health in Little Flock, AR. Individual provider (NPI-1).
NPI number1023935558
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1023935558
- Entity type
- Individual (NPI-1)
- Name
- Dominique Bonilla
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2026
- Certification date
- Jul 5, 2026
- Last updated
- Jul 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A2606022 | AR | Yes |
Practice location
2113 Little Flock DrLittle Flock, AR 72756-7042
Phone 479-621-0385
Mailing address
2113 Little Flock DrLittle Flock, AR 72756-7042
Phone 479-621-0385
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Counselor providers in Little Flock, AR
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.