Individual provider Active NPI

Stephanie Alayna Bernasconi, MS, LMHC

  • Mental Health Counselor
  • Lake Worth, FL
National Provider Identifier
1497402242
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18850 Issued in FL
Practice address
6697 Remington PL
Lake Worth, FL 33463-7340
Phone
(561) 985-1167
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18850 FL Primary

Addresses

Primary practice location

6697 Remington PL
Lake Worth, FL 33463-7340

Mailing address

12300 South Shore Blvd Suite 222
Wellington, FL 33414
Phone (561) 473-4219

Other identifiers 1

IdentifierTypeStateIssuer
2737574Other2737574

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18850FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing With Play, Inc Mental Health CurrentSince Jul 2, 2023 Accepting new patients

Locations

12300 South Shore Blvd
Ste 222
Wellington, FL 33414
Phone (561) 420-3810

Organizations & group practices 1

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1497402242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 SOUTH SHORE BLVD SUITE 222",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-473-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6697 REMINGTON PL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637340",
            "telephone_number": "561-985-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNASCONI",
        "first_name": "STEPHANIE",
        "middle_name": "ALAYNA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2737574",
            "identifier": "2737574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.