Community Wellness Counseling and Support Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES

Practice address

10611 NW State Road 20
Bristol, FL 32321-3441

Phone

(850) 643-1033

NPI assigned

Mar 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Winter Collins, LCSWNPI 1538573423

Title

Owner

Phone

(850) 643-1033

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Wellness Counseling and Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Wellness Counseling and Support Services

  • Clinical Social Worker
  • Bristol, FL
  • NPI 1881047041
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winter Collins, LCSW

  • Clinical Social Worker
  • Bristol, FL
  • NPI 1538573423
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1043966971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 NW STATE ROAD 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 NW STATE ROAD 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213441",
            "telephone_number": "850-643-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "WINTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-643-1033",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080947-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Sumner Causseaux, APRN
• Chatter Pediatric Therapy PLLC
• Tai Zimmerman Cole
• Winter Collins, LCSW
• Communication Station & Consulting, LLC
• Community Wellness Counseling and Support Services
• Jennifer Conyers
• Alexandra Cook
• County of Liberty Board of County Commissioners
• Britt Jeppson Day, MS, CCC-SLP

• All providers in Bristol, FL
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.