Individual provider Active NPI

Holly Ann Winters

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1306524095
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26720 Issued in FL
Practice address
9030 58TH Dr E Ste 103
Bradenton, FL 34202-6108
Phone
(941) 567-6207
Fax
(888) 769-9093
NPI assigned
Jul 11, 2023
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 MH26720 FL Primary

Addresses

Primary practice location

9030 58TH Dr E Ste 103
Bradenton, FL 34202-6108

Mailing address

9030 58TH Dr E Ste 103
Bradenton, FL 34202-6108
Phone (941) 567-6207

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
I20260212004664 FL Practitioner - Mental Health Counselor 6406336189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9015 Town Ctr Pkwy
Unit 106
Lakewood Ranch, FL 34202-5012
Phone (941) 567-6207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH26720FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Counseling Services Mental Health CurrentSince Feb 9, 2026 Accepting new patients

Locations

9030 58th Dr E
Ste 103
Bradenton, FL 34202
Phone (941) 567-6207

9015 Town Center Pkwy
Unit 106
Lakewood Ranch, FL 34202
Phone (941) 228-5144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1306524095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 58TH DR E STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026108",
            "telephone_number": "941-567-6207",
            "fax_number": "888-769-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 58TH DR E STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026108",
            "telephone_number": "941-567-6207",
            "fax_number": "888-769-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.