Dr. Brian Bakalar, Ed.D., LMHC
Counselor, Mental Health in Fort Myers, FL. Individual provider (NPI-1).
NPI number1104674191
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1104674191
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Bakalar
- Credential
- Ed.D., LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2024
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH16706 | FL | Yes |
Practice location
11556 Stonecreek CirFort Myers, FL 33913-9084
Phone 815-519-3116
Mailing address
11556 Stonecreek CirFort Myers, FL 33913-9084
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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