Individual provider Active NPI

Gloria Sofia Bencosme, LMHC, NCC, RPT,BCBA

  • Behavior Analyst
  • Wellington, FL
National Provider Identifier
1881954824
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-54866 Issued in FL
Practice address
12300 S Shore Blvd Ste 222
Wellington, FL 33414-6509
Phone
(561) 420-3810
Fax
(561) 584-7803
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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 MH 12298 FL
Behavior Analyst 103K00000X 1-21-54866 FL Primary

Addresses

Primary practice location

12300 S Shore Blvd Ste 222
Wellington, FL 33414-6509

Mailing address

123 Wakulla Springs Way
Royal Palm Beach, FL 33411-4219
Phone (561) 420-3810

Other practice location 1

1521 Forest Hill Blvd Ste 3
Lake Clarke Shores, FL 33406-6031
Phone (561) 444-2814

Other practice location 2

1521 Forest Hill Blvd Ste 3B
West Palm Beach, FL 33406-6031
Phone (561) 506-3665

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

LicenseStateTypeSpecialty
MH 12298FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bencosme Consulting, LLC Mental Health CurrentSince Nov 1, 2020 Accepting new patients
Rainbow of Life Behavioral Health Center, LLC Behavior Analyst PastSince Aug 1, 2022 Accepting new patients
Brighter Minds Behavioral Health, LLC. Behavior Analyst PastSince Aug 1, 2022 Accepting new patients

Locations

12300 South Shore Blvd
Ste 222
Wellington, FL 33414
Phone (561) 420-3810

1521 Forest Hill Blvd
Ste 3
West Palm Beach, FL 33406
Phone (561) 444-2814

12300 South Shore Blvd
Ste 218
West Palm Beach, FL 33414
Phone (561) 444-7518

1521 Forest Hill Blvd
Ste 3B
West Palm Beach, FL 33406
Phone (561) 506-3665

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1881954824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WAKULLA SPRINGS WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114219",
            "telephone_number": "561-420-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 S SHORE BLVD STE 222",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146509",
            "telephone_number": "561-420-3810",
            "fax_number": "561-584-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Forest Hill Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lake Clarke Shores",
            "state": "FL",
            "postal_code": "334066031",
            "country_code": "US",
            "telephone_number": "561-444-2814",
            "fax_number": "561-444-2458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 Forest Hill Blvd Ste 3B",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334066031",
            "country_code": "US",
            "telephone_number": "561-506-3665",
            "fax_number": "561-444-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENCOSME",
        "first_name": "GLORIA",
        "middle_name": "SOFIA",
        "name_prefix": "Miss",
        "credential": "LMHC, NCC, RPT,BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 12298",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-54866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.