Individual provider Active NPI

Kevin Matthew Winship, LMHC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1427466184
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9414 Issued in FL
Practice address
224 E 6TH Ave
Tallahassee, FL 32303-6208
Phone
(850) 509-1181
Fax
(833) 373-0728
NPI assigned
Jul 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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 9414 FL 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

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

LicenseStateTypeSpecialty
9414FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cobalt Wellness LLC Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

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

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

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

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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1427466184",
    "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": {
        "last_name": "WINSHIP",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "9414",
            "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 Sep 29, 2023; 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.