Active NPI
Bonnie J Fraley, LMHC
- Mental Health Counselor
- Wilton Manors, FL
National Provider Identifier
1780739334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 6656
- Practice address
- 1881 NE 26TH St
Wilton Manors, FL 33305-1416 - Phone
- (954) 270-8251
- Fax
- (954) 565-8387
- NPI assigned
- Jan 24, 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 | MH 6656 | FL | Primary |
Addresses
Primary practice location
1881 NE 26TH St
Wilton Manors, FL 33305-1416
Mailing address
3000 NE 16TH Ave
Oakland Park, FL 33334-5265
Phone (954) 270-8251
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 |
|---|---|---|---|
| MH 6656 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780739334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 NE 16TH AVE",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333345265",
"telephone_number": "954-270-8251",
"fax_number": "954-565-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 NE 26TH ST",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051416",
"telephone_number": "954-270-8251",
"fax_number": "954-565-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRALEY",
"first_name": "BONNIE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 6656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
- Florida Institute of Health LTD LLLP
- Fort Lauderdale Couples, Family & Individual Therapy
- Fort Lauderdale Couples, Family and Individual Therapy, LLC
- Fort Lauderdale Medical Surgical Associates., Inc.
- James Foster, ARNP
- Kathy Lucia Francis, M.S.W.
- Icaro Franco
- Jarrod Frazier
- Kelli Furton, OTR/L
- Christopher F Fuzy, MS,RD,LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.