Betty Bobay

Individual provider Active NPI Mental Health Counselor · Titusville, FL

NPI 1033730528 · NPPES record last updated May 6, 2020

Key facts

NPI
1033730528
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
5944 Windover Way
Titusville, FL 32780-7408
Phone
(321) 795-0459
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

5944 Windover Way
Titusville, FL 32780-7408

Mailing address

5944 Windover Way
Titusville, FL 32780-7408
Phone (321) 795-0459

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 6, 2020.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1033730528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 WINDOVER WAY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807408",
            "telephone_number": "321-795-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 WINDOVER WAY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807408",
            "telephone_number": "321-795-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBAY",
        "first_name": "BETTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

All providers in Titusville, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.