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ALYSSA BOHONAN
NPI 1023699006
Counselor - Mental Health in Islandia, NY

Active since April 20, 2021PECOS Enrolled
1777 VETERANS MEMORIAL HWY STE 14, ISLANDIA, NY 11749(631) 630-6439 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alyssa Bohonan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA BOHONAN (NPI 1023699006) is an individual mental health provider in Islandia, New York, licensed in New York (009109) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023699006
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALYSSA BOHONAN
Location Address1777 VETERANS MEMORIAL HWY STE 14Islandia, NY 11749-1555
Mailing Address58 Pitchpine PlMedford, NY 11763-4226
Phone(631) 630-6439
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 20, 2021
NPPES CertifiedNovember 13, 2020
✔ NPI 1023699006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 009109
1777 VETERANS MEMORIAL HWY STE 14, Islandia, NY 11749
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Bohonan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688154388
PECOS Enrollment IDI20260212002471
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alyssa Bohonan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tina Flanagan Licensed Mental Health Counselor P.C.
Same address
Adult Mental Health
1777 VETERANS MEMORIAL HWY STE 14
Islandia, NY 11749
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1700420767 (631) 630-6439

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN PANICCIA LCSW PC
Social Worker (Clinical)
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (631) 212-2405
JENNIFER MW BRENT LMSW
Social Worker (Clinical)
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (631) 559-9626
NICOLE BRANDER LMSW
Social Worker (Clinical)
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (631) 212-2405
AMANDA DONOVAN
Social Worker
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (631) 630-6439
JENNIFER BRENT LCSW PC
Social Worker (Clinical)
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (631) 559-9626
JESSICA MARIE MERRELL
Social Worker
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (631) 630-6439
AMY DONNOLO LMHC
Counselor (Mental Health)
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (929) 244-3943
MRS. MELISSA JASMIN SORRENTINO MHC-LP
Counselor (Mental Health)
1777 VETERANS MEMORIAL HWY STE 14
ISLANDIA, NY 11749
Suffolk County (631) 630-6439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Bohonan's NPI number?

The NPI number for Alyssa Bohonan is 1023699006. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Alyssa Bohonan located?

Alyssa Bohonan practices at 1777 Veterans Memorial Hwy Ste 14, Islandia, NY 11749. The listed phone number is (631) 630-6439.

What is Alyssa Bohonan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alyssa Bohonan enrolled in Medicare?

Yes. Alyssa Bohonan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyssa Bohonan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Bohonan reassigns Medicare benefits to Tina Flanagan Licensed Mental Health Counselor P.C. (Islandia, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Bohonan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Bohonan accept?

Health plans from Oscar Health list Alyssa Bohonan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alyssa Bohonan was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.