Individual provider Active NPI

Karen Bova, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1861921223
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3407562 Issued in FL
Practice address
661 Seminola Blvd
Casselberry, FL 32707-3057
Phone
(689) 248-5317
NPI assigned
Jun 8, 2017
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 290453 AZ
Family Nurse Practitioner 363LF0000X 3407562 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 290453 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3407562 FL Primary

Addresses

Primary practice location

661 Seminola Blvd
Casselberry, FL 32707-3057

Mailing address

661 Seminola Blvd
Casselberry, FL 32707-3057
Phone (689) 248-5317

Other practice location 1

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone (689) 248-5317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607003036 FL Practitioner - Nurse Practitioner 3870971682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
290453AZMDFamily Nurse Practitioner
3407562FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Mind Mental Health Counseling LLC Psychiatric/Mental Health CurrentSince Oct 21, 2025 Accepting new patients

Locations

661 Seminola Blvd
Casselberry, FL 32707
Phone (407) 678-6655

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1861921223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 SEMINOLA BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073057",
            "telephone_number": "689-248-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 SEMINOLA BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073057",
            "telephone_number": "689-248-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Stapley Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046676",
            "country_code": "US",
            "telephone_number": "689-248-5317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVA",
        "first_name": "KAREN",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "290453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3407562",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "290453",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "3407562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.