Nicola A Bortnik, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17359 Issued in FL

Practice address

1550 Madruga Ave Ste 510
Coral Gables, FL 33146-3048

Phone

(754) 216-9559

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1538810957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 SW 71ST AVE",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566273",
            "telephone_number": "305-903-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE STE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463048",
            "telephone_number": "754-216-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNIK",
        "first_name": "NICOLA",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "17359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Borinquen Health Care Center, Inc.
• Oneida Borisuck, LMT# MA66416
• Daryhen Borjas Garcia, RBT
• Leyla Borrego, ARNP
• Priscilla M Borrego, MD
• Pamela Vanessa Bosque Guevara, D.D.S
• Isailys Bosque
• Boston Medical Group, Inc.
• Philip Carpenter Boswell, PH.D.
• Sabrina Botros

• Mental Health Counselor in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.