Fallone Bovell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105

Phone

(516) 303-9925

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: fbovell@lighthousecounselingny.com

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1265004642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S FRANKLIN AVE STE 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806105",
            "telephone_number": "516-303-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S FRANKLIN AVE STE 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806105",
            "telephone_number": "516-303-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVELL",
        "first_name": "FALLONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FBovell@lighthousecounselingny.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "108 S Franklin Ave Ste 3",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115806105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Borukhova, CRNA
• Iman Boucetta, MS ED
• Bounce PT Rehab PC
• Samanta Boursiquot, LPN
• Aishah Bovell
• Erin M Bowers, LPN
• Angeleta L Boyce, M.A.
• Keith Boyd
• Alicia Boykin
• Karen Brabham, ED.D

• Mental Health Counselor in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.