Individual provider Active NPI

Brian S Ellis, LMHC

  • Mental Health Counselor
  • Valrico, FL
National Provider Identifier
1598656928
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25725 Issued in FL
Practice address
724 Cape Cod Cir
Valrico, FL 33594-4382
Phone
(813) 712-0610
NPI assigned
Jul 14, 2025
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 MH25725 FL Primary

Addresses

Primary practice location

724 Cape Cod Cir
Valrico, FL 33594-4382

Mailing address

724 Cape Cod Cir
Valrico, FL 33594-4382
Phone (813) 712-0610

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
I20250831000294 FL Practitioner - Mental Health Counselor 6709387723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2995 Drew St
FL 2
Clearwater, FL 33759-3012

724 Cape Cod Cir
Valrico, FL 33594-4382

9835 Lake Worth Rd
Lake Worth, FL 33467-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25725FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Aug 25, 2025 Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Behavioral Health Management Services, Inc Mental Health Past Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

2470 Bloomingdale Ave
Ste 220
Valrico, FL 33596
Phone (727) 586-8800

Organizations & group practices 5

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1598656928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 CAPE COD CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944382",
            "telephone_number": "813-712-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CAPE COD CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944382",
            "telephone_number": "813-712-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.