Active NPI
Gloria Sofia Bencosme, LMHC, NCC, RPT,BCBA
- Behavior Analyst
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 12298 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bencosme Consulting, LLC | Mental Health | Current | Accepting new patients |
| Rainbow of Life Behavioral Health Center, LLC | Behavior Analyst | Past | Accepting new patients |
| Brighter Minds Behavioral Health, LLC. | Behavior Analyst | Past | 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.
-
- Behavior Analyst
- West Palm Beach, FL
- NPI 1255846838
-
- Behavior Analyst
- Lake Worth, FL
- NPI 1841837713
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.