Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Bonilla, MA

Individual provider Mental Health Counselor · NPI 1922521301

Kathryn Bonilla, MA is a Mental Health Counselor in Fort Collins, Colorado. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2629 Redwing Rd Ste 130
Fort Collins, CO 80526-2879
Phone: (970) 404-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1922521301
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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