Active NPI
Jeanette Bosela, MS
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1790923282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH-6839
- Practice address
- 5200 Haverill Dr
Orlando, FL 32809-3041 - Phone
- (407) 341-0129
- NPI assigned
- Jan 22, 2009
- 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 | IMH-6839 | FL | Primary |
Addresses
Primary practice location
5200 Haverill Dr
Orlando, FL 32809-3041
Mailing address
5200 Haverill Dr
Orlando, FL 32809-3041
Phone (407) 341-0129
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH-6839 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1790923282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HAVERILL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328093041",
"telephone_number": "407-341-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HAVERILL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328093041",
"telephone_number": "407-341-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSELA",
"first_name": "JEANETTE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH-6839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.