MRS. BONITA POMEROY (LLPC) – Mental Health Counselor, NPI 1376896753

MRS. BONITA POMEROY (LLPC) is a healthcare provider. based in Waterford, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LLPC. They hold a License No. 6401012076 (MI). The NPI Number for MRS. BONITA POMEROY (LLPC) is 1376896753

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BONITA POMEROY (LLPC)
NPI
1376896753
Phone
(248) 881-5236
Address
4345 MEIGS AVE
Enumeration Date
22 October 2012
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484616266
Graduation Year
2010 (16 years ago)
PAC ID
7113409020
Group Practice PAC ID
0143544320
Professional Enrollment ID
I20260228000449
Address ID
MI483294191WA4000XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for MRS. BONITA POMEROY (LLPC)

  • 4345 MEIGS AVE

    WATERFORD, MI 483291877

    Phone: (248) 881-5236

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260228000449IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48329)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143544320View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do payers reference MRS. BONITA POMEROY (LLPC)?
For MRS. BONITA POMEROY (LLPC), use NPI 1376896753 as the unique 10-digit identifier.
Is there an active status for MRS. BONITA POMEROY (LLPC)?
For scheduling context, MRS. BONITA POMEROY (LLPC) is shown as active in the registry.
What kind of doctor is MRS. BONITA POMEROY (LLPC)?
MRS. BONITA POMEROY (LLPC) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. BONITA POMEROY (LLPC) associated with Waterford?
Public fields place MRS. BONITA POMEROY (LLPC) around Waterford, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. BONITA POMEROY (LLPC) is noted as October 22, 2012 where the registry provides it.

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