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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Rachel Anne Birkel-Rothleutner
- Jessica Bishop
- Jessica Black
- BNS Medical, LLC
- Sherry Lynn Boaz
- Summer Renee Bodziak
- Jennifer Boffil
- Brandon Bogard
- Tara Bonck
- Victor R Boodhoo
All providers in Titusville, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.