Active NPI
Maryann Bodnar, LMHC, CAP,CSAT, CPTT
- Counselor
- Tampa, FL
National Provider Identifier
1316615230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH7778
- Practice address
- 611 W Bay St
Ste 1G
Tampa, FL 33606 - Phone
- (515) 708-5570
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH7778 | FL | Primary |
Addresses
Primary practice location
611 W Bay St
Ste 1G
Tampa, FL 33606
Mailing address
8424 Ridgebrook Cir
Odessa, FL 33556-3132
Phone (515) 708-5570
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH7778 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1316615230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8424 RIDGEBROOK CIR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563132",
"telephone_number": "515-708-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W BAY ST",
"address_2": "STE 1G",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606",
"telephone_number": "515-708-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNAR",
"first_name": "MARYANN",
"name_prefix": "Ms.",
"credential": "LMHC, CAP,CSAT, CPTT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH7778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.