Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alejandra Bonilla Tibocha

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821708553

Alejandra Bonilla Tibocha is a Mental Health Counselor in Bronx, New York. Qualified in 2024, 2 years ago. Registered with an NPI since 2022.

Years since qualifying
2
In the registry since
2022
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Practice location Address checks out

579 Courtlandt Ave
Bronx, NY 10451-5013
Phone: (718) 485-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821708553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESJuly 5, 2026
Certification dateJuly 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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