Individual provider Active NPI

Bettina Colete Bruno-Brown, L.M.H.C.

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1356652143
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10087 Issued in FL
Practice address
11751 SW 3Rd St
Plantation, FL 33325-2911
Phone
(954) 734-4708
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MH10087
Mental Health Counselor 101YM0800X MH10087 FL Primary

Addresses

Primary practice location

11751 SW 3Rd St
Plantation, FL 33325-2911

Mailing address

11751 SW 3Rd St
Plantation, FL 33325-2911
Phone (954) 734-4708

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250107003136 FL Practitioner - Mental Health Counselor 9335677137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Only-Connect Psychological Services PLLCGroup PAC ID 4486190147, 2 clinicians

Practice addresses (Care Compare)

9102 W Bay Harbor Dr
Suite 4BW
Bay Harbor Islands, FL 33154-3625
Phone (214) 850-1986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10087FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Free Therapy, S Corp CurrentSince Mar 29, 2020 Accepting new patients
Only-Connect Psychological Services PLLC CurrentSince Dec 1, 2024 Accepting new patients
Connect RF Medicine PLLC PastSince Aug 1, 2024 Accepting new patients

Locations

1216 Broadway
Fl 2
New York, NY 10001
Phone (617) 356-8039

Organizations & group practices 3

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1356652143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 SW 3RD ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252911",
            "telephone_number": "954-734-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 SW 3RD ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252911",
            "telephone_number": "954-734-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO-BROWN",
        "first_name": "BETTINA",
        "middle_name": "COLETE",
        "name_prefix": "Prof.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "MH10087",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.