Individual provider Active NPI

Chelsea Birmingham, LMHC

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1194190553
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6075 Bathey LN
Naples, FL 34116-7536
Phone
(239) 455-8500
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MH13821 FL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6075 Bathey LN
Naples, FL 34116-7536

Mailing address

6075 Bathey LN
Naples, FL 34116-7536
Phone (239) 455-8500

Other practice location 1

17450 Blueberry Hill Dr
Apt A
Fort Myers, FL 33908-7121
Phone (203) 521-4815

Other practice location 2

17450 Blueberry Hill Dr
Apt A
Fort Myers, FL 33908-7121
Phone (203) 521-4815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113003671 FL Practitioner - Mental Health Counselor 3577097575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Coast Counseling LLCGroup PAC ID 6709310733, 5 clinicians

Practice addresses (Care Compare)

3443 Pine Ridge Rd
Naples, FL 34109-3926
Phone (239) 427-1833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Coast Counseling LLC CurrentSince Sep 11, 2024 Accepting new patients

Locations

9210 Estero Park Commons Blvd
Ste 7BVLD
Estero, FL 33928

2430 Vanderbilt Beach Rd
Ste 108
Naples, FL 34109
Phone (239) 287-6624

3443 Pine Ridge Rd
Ste 101
Naples, FL 34109
Phone (239) 427-1833

3443 Pine Ridge Rd
Naples, FL 34109
Phone (239) 427-1833

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194190553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 BATHEY LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167536",
            "telephone_number": "239-455-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 BATHEY LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167536",
            "telephone_number": "239-455-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17450 Blueberry Hill Dr",
            "address_2": "Apt A",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339087121",
            "country_code": "US",
            "telephone_number": "203-521-4815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17450 Blueberry Hill Dr",
            "address_2": "Apt A",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339087121",
            "country_code": "US",
            "telephone_number": "203-521-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "CHELSEA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "MH13821",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.