BONFIRE THERAPY LMHC PLLC
NPI 1124950258
Counselor - Mental Health in New York, NY

Active since June 02, 2026
2248 BROADWAY # 2123, NEW YORK, NY 10024(917) 410-0223 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bonfire Therapy Lmhc Pllc NPPES

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

BONFIRE THERAPY LMHC PLLC (NPI 1124950258) is a healthcare organization registered as a mental health in New York, New York and active in the NPI registry since June 2026. The organization lists Jonathan Matthew Vargas, Member-manager, as its authorized official.

NPPES Registry Identity

NPI1124950258
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBONFIRE THERAPY LMHC PLLC
Location Address2248 BROADWAY # 2123New York, NY 10024-5805
Mailing Address2248 Broadway # 2123New York, NY 10024-5805 · (917) 410-0223
Organization SubpartNo
Authorized OfficialJonathan Matthew VargasMember-manager · (917) 410-0223
Enumeration DateJune 2, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1124950258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2248 BROADWAY # 2123, New York, NY 10024

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonfire Therapy Lmhc Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bonfire Therapy Lmhc PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1821698473
2248 BROADWAY # 2123
New York, NY 10024
(917) 410-0223
✔ PECOS✔ Accepts MedicareSame address

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

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 Bonfire Therapy Lmhc PLLC's NPI number?

The NPI number for Bonfire Therapy Lmhc PLLC is 1124950258. It was assigned to this organization in the NPPES registry on June 2, 2026.

Where is Bonfire Therapy Lmhc PLLC located?

Bonfire Therapy Lmhc PLLC is located at 2248 Broadway # 2123, New York, NY 10024. The listed phone number is (917) 410-0223.

What is Bonfire Therapy Lmhc PLLC's specialty?

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

Is Bonfire Therapy Lmhc PLLC enrolled in Medicare?

Yes. Bonfire Therapy Lmhc PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bonfire Therapy Lmhc PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Bonfire Therapy Lmhc PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bonfire Therapy Lmhc PLLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.