Active NPI
Amber McCollough
- Massage Therapist
- Tallahassee, FL
National Provider Identifier
1245029529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA75655
- Practice address
- 1318 E 6TH Ave
Tallahassee, FL 32303-6506 - Phone
- (850) 656-6606
- NPI assigned
- May 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA75655 | FL | Primary |
Addresses
Primary practice location
1318 E 6TH Ave
Tallahassee, FL 32303-6506
Mailing address
1416 Fuller Rd
Tallahassee, FL 32303-3006
Phone (850) 566-9917
Other practice location 1
2024 N Point Blvd
Tallahassee, FL 32308-4184
Phone (850) 668-7062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA75655 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Wellness Center, LLC | Massage Therapist | Current | Accepting new patients |
Locations
1318 E 6th Ave
Tallahassee, FL 32303
Phone (850) 656-6606
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": "1746230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746230400000",
"number": "1245029529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 FULLER RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323033006",
"telephone_number": "850-566-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 E 6TH AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036506",
"telephone_number": "850-656-6606"
}
],
"practiceLocations": [
{
"address_1": "2024 N Point Blvd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084184",
"country_code": "US",
"telephone_number": "850-668-7062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOLLOUGH",
"first_name": "AMBER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-03",
"last_updated": "2025-05-03",
"certification_date": "2025-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA75655",
"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 May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.