MR. NICOLAS ALONZO BOLANOS (NPI# 1932442837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932442837 |
| Entity Type | Individual |
| Full Name | MR. NICOLAS ALONZO BOLANOS |
| Credential | M.ED., ED.S. |
| Practice Address |
4150 Ford Street Extension Fort Myers FL 33916 |
| Mailing Address |
4150 Ford Street Extention Fort Myers FL 33916 |
| Practice Telephone | 2394618388 |
| Practice Fax Number | 2397905121 |
| Mailing Telephone | 2394618388 |
| Mailing Fax Number | 2397905121 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IMH9380 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4150 FORD STREET EXTENSION |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| 1881806545 | Ali Saharkhiz-langroodi | Psychiatry & Neurology | 3303 Winkler Extension, Fort Myers, FL 33916 | 2007-05-04 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293324 | Stephanie Rimes | Counselor | 12811 Kenwood Ln # 202213, Fort Myers, FL 33907-5667 | 2020-07-29 |
| 1093204927 | Lisa Malt | Counselor | 1614 Colonial Blvd, Fort Myers, FL 33907-1135 | 2018-05-07 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1386189025 | Deborah Susan Marino | Counselor | 1830 Brantley Rd, Building C Unit 8, Fort Myers, FL 33907-3938 | 2017-01-04 |
| 1679026223 | Sabrina Teresa Mendizabal | Counselor | 12535 New Brittany Blvd Ste 28, Fort Myers, FL 33907-3625 | 2016-08-01 |
| 1962803387 | Irene Veronica Brown | Counselor | 2740 Oak Ridge Ct Ste 301, Fort Myers, FL 33901-9371 | 2014-09-05 |
| 1902232465 | Patricia Lopez | Counselor | 10140 Deer Run Frm Rd, Fort Myers, FL 33966-1045 | 2013-09-16 |
| 1932541901 | Carrie Lynn Johnson | Counselor | 6315 Presidential Ct Ste 120, Fort Myers, FL 33919-3568 | 2013-07-19 |
| 1396000915 | Denise Marie Millheim | Counselor | 2789 Ortiz Ave # G-12, Fort Myers, FL 33905-7806 | 2012-07-10 |
| 1437439114 | Julie Eckhardt | Counselor | 18581 Sarasota Rd, Fort Myers, FL 33967-3520 | 2011-08-25 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.