David Antony Bolanos, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

21174 Issued in FL

Practice address

1017 Weathered Wood Cir
Winter Springs, FL 32708-4207

Phone

(321) 285-6605

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• New Hope Counseling Center

  • Mental Health Counselor
  • Oviedo, FL
  • NPI 1801592225
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1194446435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 WEATHERED WOOD CIR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084207",
            "telephone_number": "321-285-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 WEATHERED WOOD CIR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084207",
            "telephone_number": "321-285-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "DAVID",
        "middle_name": "ANTONY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21174",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "21174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Bennett, OTD, OTR/L
• Cynthia P Bernal, M.D.
• Tabitha Bernal, LMFT, NCC
• Bio Health Group LLC
• Blue Jay Behavioral Services
• Ivan A Bolivar, M.D.
• John Jeffrey Bos, DC
• Danielle Marie Bowers, M.A., CFY-SLP
• Solina Brainin-Mattos, OTR/L
• Anna Brooks

• Mental Health Counselor in Winter Springs, FL
• Providers in Winter Springs, 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 Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.