Organization Active NPI

Cobalt Wellness LLC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1093488488
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COBALT WELLNESS LLC
Practice address
224 E 6TH Ave
Tallahassee, FL 32303-6208
Phone
(850) 509-1181
Fax
(833) 373-0728
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Mr. Kevin Matthew Winship, LMHCNPI 1427466184
Title
Owner/Clinician
Phone
(850) 509-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

224 E 6TH Ave
Tallahassee, FL 32303-6208

Mailing address

224 E 6TH Ave
Tallahassee, FL 32303-6208
Phone (850) 509-1181

National Provider Directory

National Provider Directory

Locations

224 E 6th Ave
Tallahassee, FL 32303
Phone (850) 270-3454

3841 Killearn Ct
Ste A
Tallahassee, FL 32309
Phone (850) 443-1334

1331 E Lafayette St
Ste A
Tallahassee, FL 32301
Phone (850) 848-9344

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1093488488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E 6TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036208",
            "telephone_number": "850-509-1181",
            "fax_number": "833-373-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 6TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036208",
            "telephone_number": "850-509-1181",
            "fax_number": "833-373-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBALT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "WINSHIP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "850-509-1181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.