Amy Bouziotis, MHC

Individual provider Active NPI Mental Health Counselor · Bohemia, NY

NPI 1912480203 · NPPES record last updated Sep 12, 2018

Key facts

NPI
1912480203
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736
Phone
(631) 758-8290
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Villano Mental Health Counselor, PLLC Mental Health Past
since Apr 26, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736

Mailing address

1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736

Other providers in Bohemia, NY

All providers in Bohemia, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.