Organization Active NPI

Pulido Coates and Associates LLC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1518302231
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PULIDO COATES AND ASSOCIATES LLC
Doing business as
Clinical and Family Therapy Associates
Practice address
3005 W Euclid Ave
Tampa, FL 33629-8954
Phone
(813) 833-0162
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Bobby Lloyd Coates, LMHC, LMFT, LPCNPI 1811102601
Title
Manager
Phone
(813) 508-1859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X ARNP1570142 FL

Addresses

Primary practice location

3005 W Euclid Ave
Tampa, FL 33629-8954

Mailing address

4520 W Oakellar Ave
Tampa, FL 33611-3114
Phone (813) 883-0162

Other practice location 1

13801 Bruce B Downs Blvd Ste 406
Tampa, FL 33613-3923
Phone (813) 833-0162

Other identifiers 2

IdentifierTypeStateIssuer
P00865875OtherFLRAILROAD MEDICARE
001386800MedicaidFL

Other names 1

  • Clinical and Family Therapy Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3003 W Azeele St
Ste 200
Tampa, FL 33609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1518302231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 W OAKELLAR AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113114",
            "telephone_number": "813-883-0162",
            "fax_number": "888-850-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W EUCLID AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298954",
            "telephone_number": "813-833-0162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13801 Bruce B Downs Blvd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336133923",
            "country_code": "US",
            "telephone_number": "813-833-0162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULIDO COATES AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-508-1859",
        "authorized_official_credential": "LMHC, LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1570142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00865875",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001386800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical and Family Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinical and Family Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.