MICHELLE BONILLA LMHC
NPI 1497338339
Counselor - Mental Health in Staten Island, NY

Active since April 29, 2021
401 BLOOMINGDALE RD, STATEN ISLAND, NY 10309(718) 300-5655 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2021, Apr 29, 2021 (2 updates tracked since 2021).

About Michelle Bonilla Lmhc NPPES

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

MICHELLE BONILLA LMHC (NPI 1497338339) is an individual mental health provider in Staten Island, New York, licensed in New York (011255) and active in the NPI registry since April 2021. She maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1497338339
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE BONILLACredential: LMHC
Location Address401 BLOOMINGDALE RDStaten Island, NY 10309-2010
Mailing Address308 N Feltus StSouth Amboy, NJ 08879-1245 · (908) 342-6255
Sole ProprietorYes
Enumeration DateApril 29, 2021
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
NPI 1497338339 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 · 011255
401 BLOOMINGDALE RD, Staten Island, NY 10309

Secondary Practice Location 1

Location 11885 Hylan BlvdStaten Island, NY 10305-2110 · Phone (347) 509-4120

Other Providers at the Same Location NPPES 5

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

Dermatology
401 BLOOMINGDALE RD, SUITE 2
STATEN ISLAND, NY 10309
Speech-Language Pathologist
401 BLOOMINGDALE RD, SUITE 6
STATEN ISLAND, NY 10309
Psychologist
401 BLOOMINGDALE RD, STE 6
STATEN ISLAND, NY 10309
Psychologist
401 BLOOMINGDALE RD
STATEN ISLAND, NY 10309
Psychologist (Clinical)
401 BLOOMINGDALE RD, STE 5
STATEN ISLAND, NY 10309

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 Michelle Bonilla's NPI number?

The NPI number for Michelle Bonilla is 1497338339. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Michelle Bonilla located?

Michelle Bonilla practices at 401 Bloomingdale Rd, Staten Island, NY 10309. The listed phone number is (718) 300-5655.

What is Michelle Bonilla's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Bonilla was last updated on May 28, 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.