Individual provider Active NPI

Samantha Campagna Bonomo, N.C.C., LMFT, LMHC

  • Mental Health Counselor
  • Homestead, FL
National Provider Identifier
1235767609
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20406 Issued in FL
Practice address
11370 SW 232ND Ter
Homestead, FL 33032-6000
Phone
(786) 519-1619
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4258 FL
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X MH20406 FL Primary

Addresses

Primary practice location

11370 SW 232ND Ter
Homestead, FL 33032-6000

Mailing address

11370 SW 232ND Ter
Homestead, FL 33032-6000
Phone (305) 335-0254

Other practice location 1

1550 Madruga Ave Ste 509
Coral Gables, FL 33146-3048
Phone (786) 536-9714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20250603000114 FL Practitioner - Marriage and Family Therapist 0749799633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20406FLMDMental Health Counselor
CBHCMS100938FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 9, 2025 Accepting new patients
Abcs for Success, LLC PastSince Apr 1, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1235767609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 SW 232ND TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326000",
            "telephone_number": "305-335-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 SW 232ND TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326000",
            "telephone_number": "786-519-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Madruga Ave Ste 509",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331463048",
            "country_code": "US",
            "telephone_number": "786-536-9714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPAGNA BONOMO",
        "first_name": "SAMANTHA",
        "credential": "N.C.C., LMFT, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4258",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.