Individual provider Active NPI

John R Cothron, LMHC

  • Mental Health Counselor
  • Clermont, FL
National Provider Identifier
1225516487
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16207 Issued in FL
Practice address
4300 S Hwy 27
Ste 205B
Clermont, FL 34711-8067
Phone
(407) 949-0214
Fax
(407) 284-3466
NPI assigned
Jul 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16207 FL Primary

Addresses

Primary practice location

4300 S Hwy 27
Ste 205B
Clermont, FL 34711-8067

Mailing address

4300 S Hwy 27
Ste 205B
Clermont, FL 34711-8067
Phone (407) 949-0214

Other identifiers 1

IdentifierTypeStateIssuer
1008800900MedicaidFL

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
I20250801003936 FL Practitioner - Mental Health Counselor 7315455250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Wounds Healthcare LLCGroup PAC ID 7719339563, 4 clinicians

Practice addresses (Care Compare)

15550 County Rd
565A
Clermont, FL 34711-6618
Phone (352) 499-1372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Work It Out Counseling CurrentSince Jun 30, 2024 Accepting new patients
Heart of Valor Counseling, PLLC Current Accepting new patients
Healing Wounds Healthcare LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Heartspoken Counseling, Inc Mental Health Past Accepting new patients

Locations

4300 S Highway 27
Ste 205B
Clermont, FL 34711
Phone (407) 374-5139

15550 County Road 565A
Clermont, FL 34711
Phone (352) 499-1372

Organizations & group practices 4

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1225516487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S HWY 27",
            "address_2": "STE 205B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118067",
            "telephone_number": "407-949-0214",
            "fax_number": "407-284-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S HWY 27",
            "address_2": "STE 205B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118067",
            "telephone_number": "407-949-0214",
            "fax_number": "407-284-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHRON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008800900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.