Individual provider Active NPI

Juan Luis Bottia, LAPC

  • Mental Health Counselor
  • Manheim, PA
National Provider Identifier
1104715028
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC00140 Issued in PA
Practice address
420 Doe Run Rd
Manheim, PA 17545-9368
Phone
(618) 713-6134
NPI assigned
Jul 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC00140 PA Primary

Addresses

Primary practice location

420 Doe Run Rd
Manheim, PA 17545-9368

Mailing address

420 Doe Run Rd
Manheim, PA 17545-9368
Phone (618) 713-6134

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC00140PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1104715028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DOE RUN RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175459368",
            "telephone_number": "618-713-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DOE RUN RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175459368",
            "telephone_number": "618-713-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTIA",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC00140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manheim, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.