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

Alyssa Bohonan

Individual provider Mental Health Counselor · NPI 1023699006

Alyssa Bohonan is a Mental Health Counselor in Islandia, New York. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2021

Practice location Address checks out

1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555
Phone: (631) 630-6439
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 009109 (NY)

Record details

NPI number1023699006
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateNovember 13, 2020
Mailing address58 Pitchpine Pl, Medford, NY 11763-4226

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Islandia