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

Mr. Nathaniel Bonovitz, LCPC

Individual provider Mental Health Counselor · NPI 1154586550

Mr. Nathaniel Bonovitz, LCPC is a Mental Health Counselor in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1151 E Iron Eagle Dr
Eagle, ID 83616-6854
Phone: (484) 557-5672
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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 · Licence LPC (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4869 (ID)

Record details

NPI number1154586550
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJuly 24, 2008
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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