Active NPI
Christy M Boccabella, L.M.H.C.
- Mental Health Counselor
- Largo, FL
National Provider Identifier
1467577916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH5438
- Practice address
- 1301 Seminole Blvd
B-112
Largo, FL 33770-8124 - Phone
- (727) 518-7294
- Fax
- (727) 584-4937
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH5438 | FL | Primary |
Addresses
Primary practice location
1301 Seminole Blvd
B-112
Largo, FL 33770-8124
Mailing address
7135 Columbia Cir
Fort Myers, FL 33908-2235
Phone (727) 798-4564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59-1851170 | Other | FL | GROUP PRACTICE NO |
Other names 1
- Miss Christy M Boccabella
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 |
|---|---|---|---|
| MH5438 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald L Knaus DO PA | Mental Health | Past | Accepting new patients |
| Behavioral Health Practitioner'S, Inc. | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Largo, FL
- NPI 1194935775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1467577916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 COLUMBIA CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339082235",
"telephone_number": "727-798-4564",
"fax_number": "727-584-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SEMINOLE BLVD",
"address_2": "B-112",
"city": "LARGO",
"state": "FL",
"postal_code": "337708124",
"telephone_number": "727-518-7294",
"fax_number": "727-584-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCCABELLA",
"first_name": "CHRISTY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH5438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PRACTICE NO",
"identifier": "59-1851170",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "BOCCABELLA",
"middle_name": "M",
"prefix": "MISS",
"credential": "L.M.H.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.