Active NPI
Eddie Lee Collins Jr., LMHC
- Mental Health Counselor
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 8552
- Practice address
- 1437 S Belcher Rd
Clearwater, FL 33764-2829 - Phone
- (727) 524-4464
- Fax
- (727) 538-7272
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH-8552 | FL | |
| Mental Health Counselor | 101YM0800X | MH8552 | FL | |
| Mental Health Counselor | 101YM0800X | MH 8552 | FL | Primary |
Addresses
Primary practice location
1437 S Belcher Rd
Clearwater, FL 33764-2829
Mailing address
4143 Day Bridge PL
Ellenton, FL 34222-7236
Phone (941) 348-4059
Other practice location 1
4143 Day Bridge Pl
Ellenton, FL 34222-7236
Phone (941) 348-4059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756291800 | Medicaid | FL | |
| 767380900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH-8552 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH 8552 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Mental Health Services - FL Gulf SW LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| 180 Counseling Group LLC | Current | Accepting new patients | |
| Boley Centers, Inc. | Past | Accepting new patients |
Locations
2605 72nd Ave E
Unit 583
Ellenton, FL 34222
5350 Gulf of Mexico Dr
Ste 203
Longboat Key, FL 34228
Phone (941) 210-0384
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Clinical Social Worker
- Longboat Key, FL
- NPI 1568121267
-
- Community/Behavioral Health Agency
- Ellenton, FL
- NPI 1821780040
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1194838839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1700835352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4143 DAY BRIDGE PL",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342227236",
"telephone_number": "941-348-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 S BELCHER RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337642829",
"telephone_number": "727-524-4464",
"fax_number": "727-538-7272"
}
],
"practiceLocations": [
{
"address_1": "4143 Day Bridge Pl",
"address_purpose": "LOCATION",
"city": "Ellenton",
"state": "FL",
"postal_code": "342227236",
"country_code": "US",
"telephone_number": "941-348-4059",
"fax_number": "418-034-2159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "EDDIE",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH-8552",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8552",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "756291800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767380900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.