MEDICARE: BONFIRE THERAPY LMHC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1124950258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BONFIRE THERAPY LMHC PLLC

Provider Business Mailing Address
First Line	:	2248 BROADWAY # 2123
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5805
Country	:	US
Telephone Number	:	917-410-0223
Fax Number	:

Provider Business Practice Location Address
First Line	:	2248 BROADWAY # 2123
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5805
Country	:	US
Telephone Number	:	917-410-0223
Fax Number	:

Authorized Official
Title or Position	:	MEMBER-MANAGER
Name	:	JONATHAN MATTHEW VARGAS
Credential	:	LMHC
Telephone Number	:	917-410-0223

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

Similar Medicare Providers

1023981370 — BROWN MEDICAL PRACTICE PC
Practice Location Address:

2248 BROADWAY
NEW YORK, NY
10024-5805

Practice Phone: 213-267-0123
Practice Fax:

1184907628 — HILLARY LEIGH PERLMAN LCSW
Practice Location Address:

2248 BROADWAY # 1125
NEW YORK, NY
10024-5805

Practice Phone: 325-656-4223
Practice Fax:

1891138525 — DR. RACHEL ALENA ZHUK M.D.
Practice Location Address:

2248 BROADWAY # 1031
NEW YORK, NY
10024-5805

Practice Phone: 347-878-5023
Practice Fax:

1083001762 — DR. ZEBIB ABRAHAM
Practice Location Address:

2248 BROADWAY RM 1451
NEW YORK, NY
10024-5805

Practice Phone: 443-380-0106
Practice Fax:

1104359199 — YECIKA ESTHER OTONICHAR MS, LMFT
Practice Location Address:

2248 BROADWAY # 2025
NEW YORK, NY
10024-5805

Practice Phone: 929-251-4505
Practice Fax:

1467977314 — PANTELEYMON ANASTASAKIS
Practice Location Address:

2248 BROADWAY # 2047
NEW YORK, NY
10024-5805

Practice Phone: 929-900-3001
Practice Fax:

Directions to “BONFIRE THERAPY LMHC PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.