Active NPI
Michelle Doris Bello, LMHC
- Mental Health Counselor
- Riviera Beach, FL
National Provider Identifier
1366702342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10593
- Practice address
- 2001 Blue Heron Blvd W
Riviera Beach, FL 33404 - Phone
- (561) 841-3500
- NPI assigned
- May 23, 2012
- Last updated
- May 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10593 | FL | Primary |
Addresses
Primary practice location
2001 Blue Heron Blvd W
Riviera Beach, FL 33404
Mailing address
2001 Blue Heron Blvd W
Riviera Beach, FL 33404
Phone (561) 841-3500
Other names 1
- Michelle Rusniak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 26, 2024 through Feb 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10593 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1366702342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BLUE HERON BLVD W",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "33404",
"telephone_number": "561-841-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BLUE HERON BLVD W",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "33404",
"telephone_number": "561-841-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "MICHELLE",
"middle_name": "DORIS",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "RUSNIAK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.