Rebecca A Bortnyik, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 10296 Issued in FL

Practice address

7 Vine Ave NE
Fort Walton Beach, FL 32548-5070

Phone

(850) 833-7400

Fax

(850) 833-7528

NPI assigned

May 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PPCC, Inc.Group PAC ID 3870627284, 9 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• PPCC, Inc.

  • Mental Health Counselor
  • Crestview, FL
  • NPI 1164747739
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389398400000",
    "number": "1225357767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E OAKDALE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393547",
            "telephone_number": "850-682-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VINE AVE NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485070",
            "telephone_number": "850-833-7400",
            "fax_number": "850-833-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNYIK",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2014-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002123500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Bonner, RD
• Jason Redwood Boole, M.D.
• Jessica C Boothe, MSOT, OTR/L, CLT
• Ofelia K Borlongan, M.D.
• Katrina Pendleton Borner, ARNP
• Lon A Boutiette, MD
• Shanna Bowden
• Allan Bowen, MD
• Brodie Len Bowman, D.M.D.
• Joseph Boyd

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, 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 Jan 11, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.