CMS-1500 Box 24J / 33a • NPI
1811040686
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103TC1900X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling
Box 32 Service Location & ZIP+4
5445 NW EDGEWATER AVE, PORT ST LUCIE, FL, 34983-1420
✓ 9-Digit EDI 837 ZIP+4 (34983-1420)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811040686 (DAWNA LEE BONE, Psy.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1811040686)
Medicare Beneficiaries
64
Total Billed Services
673
Distinct CPT/HCPCS Codes
5
Medicare Allowed Total
$96,872.00
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811040686 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DAWNA LEE BONE, Psy.D. |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling NUCC Code: 103TC1900X (Psychologist, Counseling) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5445 NW EDGEWATER AVE, PORT ST LUCIE, FL, 34983-1420 |
| Practice Telephone / Fax | Tel: (850) 450-3587 |
| Administrative Mailing Address | 398 SWEETGUM ST, YULEE, FL, 32097-0085 |
| Enumeration & Last Sync | Enumerated: 2007-01-18 | CMS Record Updated: 2025-02-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103TC1900X)
What Does Taxonomy Code 103TC1900X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC1900X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DAWNA LEE BONE, Psy.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: FL | License: PY7004 | Primary: Secondary |
103TB0200X — Psychologist, Cognitive & BehavioralPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral | State: N/A | License: Verified | Primary: Secondary |
103TC1900X — Psychologist, CounselingPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling | State: FL | License: PY7004 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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