Individual provider Active NPI

Giselle Maria Bonilla, LMHC

  • Mental Health Counselor
  • Dorchester, MA
National Provider Identifier
1821649609
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC13375 Issued in MA
Practice address
757 Gallivan Blvd Ste 1
Dorchester, MA 02122-3190
Phone
(617) 819-1227
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC13375 MA Primary
Mental Health Counselor 101YM0800X MH28136 FL

Addresses

Primary practice location

757 Gallivan Blvd Ste 1
Dorchester, MA 02122-3190

Mailing address

757 Gallivan Blvd Ste 1
Dorchester, MA 02122-3190
Phone (617) 819-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505001579 MA Practitioner - Mental Health Counselor 0244708600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Massachusetts Ave
FL 3
Cambridge, MA 02139-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC13375MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Time of Butterflies CurrentSince Dec 12, 2021 Accepting new patients
Pacifico Sanitas LLC Mental Health Current Accepting new patients

Locations

757 Gallivan Blvd
Ste 1
Dorchester, MA 02122
Phone (508) 237-7294

Organizations & group practices 3

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1821649609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 GALLIVAN BLVD STE 1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223190",
            "telephone_number": "617-819-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 GALLIVAN BLVD STE 1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223190",
            "telephone_number": "617-819-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "GISELLE",
        "middle_name": "MARIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC13375",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.