MRS. JASMIN BONILLA MS, LMHC
NPI 1205530896
Counselor - Mental Health in Wantagh, NY

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
3305 JERUSALEM AVE STE 207, WANTAGH, NY 11793(347) 376-2491 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jasmin Bonilla Ms, Lmhc NPPES

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

MRS. JASMIN BONILLA MS, LMHC (NPI 1205530896) is an individual mental health provider in Wantagh, New York, licensed in New York (013269-01) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Mercy College (2020).

NPPES Registry Identity

NPI1205530896
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JASMIN BONILLACredential: MS, LMHC
Location Address3305 JERUSALEM AVE STE 207Wantagh, NY 11793-2219
Mailing Address3305 Jerusalem Ave Ste 207Wantagh, NY 11793-2219 · (347) 376-2491
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2020
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1205530896 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 · 013269-01
3305 JERUSALEM AVE STE 207, Wantagh, NY 11793

Other Names 1

Former Name (1)Ms. Jasmin Feliciano

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jasmin Bonilla Ms, Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436664349
PECOS Enrollment IDI20250711000017
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 Jasmin Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
3305 JERUSALEM AVE STE 207
Wantagh, NY 11793
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: South Shore Counseling And Psychological Services, PC
  • 13 clinicians in this Medicare group

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 20

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

Counselor (Mental Health)
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793
Counselor (Mental Health)
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793
Social Worker
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793
Counselor (Mental Health)
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793
Counselor (Mental Health)
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793
Counselor (Mental Health)
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793
Counselor (Mental Health)
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793
Counselor (Mental Health)
3305 JERUSALEM AVE STE 207
WANTAGH, NY 11793

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 Jasmin Bonilla's NPI number?

The NPI number for Jasmin Bonilla is 1205530896. It was assigned to this individual provider in the NPPES registry on March 28, 2023. The provider is also known as Ms. Jasmin Feliciano.

Where is Jasmin Bonilla located?

Jasmin Bonilla practices at 3305 Jerusalem Ave Ste 207, Wantagh, NY 11793. The listed phone number is (347) 376-2491.

What is Jasmin Bonilla's specialty?

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

Is Jasmin Bonilla enrolled in Medicare?

Yes. Jasmin Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jasmin Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmin Bonilla reassigns Medicare benefits to South Shore Counseling And Psychological Services P C (Wantagh, 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 Jasmin Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasmin Bonilla accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health list Jasmin Bonilla 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 Jasmin Bonilla was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.