Individual provider Active NPI

Tona Bonilla

  • Mental Health Counselor
  • Altamonte Springs, FL
National Provider Identifier
1053746537
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23686 Issued in FL
Practice address
901 Douglas Ave Ste 100
Altamonte Springs, FL 32714-2058
Phone
(321) 972-4265
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X MH23686 FL Primary

Addresses

Primary practice location

901 Douglas Ave Ste 100
Altamonte Springs, FL 32714-2058

Mailing address

901 Douglas Ave Ste 100
Altamonte Springs, FL 32714-2058
Phone (321) 972-4265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223001530 FL Practitioner - Mental Health Counselor 7012402472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
Phone (786) 269-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23686FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Behavioral Solutions LLC CurrentSince May 7, 2024 Accepting new patients
Sailor Health Medical PA Mental Health CurrentSince Jan 21, 2026 Accepting new patients
Ep Facility LLC CurrentSince Jan 1, 2026 Accepting new patients
Elevate Psychiatry LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

901 Douglas Ave
Ste 100
Altamonte Springs, FL 32714
Phone (321) 972-4265

8200 NW 41st St
Ste 300
Doral, FL 33166

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

3250 Mary St
Ste 300
Miami, FL 33133
Phone (305) 900-6878

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1053746537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOUGLAS AVE STE 100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142058",
            "telephone_number": "321-972-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOUGLAS AVE STE 100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142058",
            "telephone_number": "321-972-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "TONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.