Active NPI
Bonded Counseling Collective LLC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1912795535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BONDED COUNSELING COLLECTIVE LLC
- Practice address
- 110 W 96TH St Apt 2B
New York, NY 10025-6412 - Phone
- (239) 770-7680
- NPI assigned
- Apr 25, 2025
- Last updated
- Jun 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karli Fleitas, PHD, LMHC
- Title
- Owner, Director
- Phone
- (239) 770-7680
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
110 W 96TH St Apt 2B
New York, NY 10025-6412
Mailing address
1425 Market Blvd Ste 530
PMB 25
Roswell, GA 30076-6723
Phone (239) 770-7680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1912795535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MARKET BLVD STE 530",
"address_2": "PMB 25",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766723",
"telephone_number": "239-770-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 96TH ST APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256412",
"telephone_number": "239-770-7680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONDED COUNSELING COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-25",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "FLEITAS",
"authorized_official_first_name": "KARLI",
"authorized_official_title_or_position": "OWNER, DIRECTOR",
"authorized_official_telephone_number": "239-770-7680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.