Brian Bakalar, ED.D., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16706 Issued in FL

Practice address

11556 Stonecreek Cir
Fort Myers, FL 33913-9084

Phone

(815) 519-3116

NPI assigned

May 7, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1104674191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11556 STONECREEK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11556 STONECREEK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139084",
            "telephone_number": "815-519-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALAR",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "ED.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J. Bailey, M.D.
• Diana Jill Bailey, M.S., C.G.C.
• Erin Bailey
• Raymond Bailey, RPH
• Renata Bailey, LMT
• Danielle Marie Bakalar, PA
• Anja Christine Baker
• Carolyn Baker
• Devon Austin Baker
• Rhonda Michelle Baker, PHARMD, MBA, NPH

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.