Active NPI
Bobby Lloyd Coates, LMHC, LPC, LMFT
- Mental Health Counselor
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16746
- Practice address
- 3005 W Euclid Ave
Tampa, FL 33629-8954 - Phone
- (813) 508-1859
- NPI assigned
- May 14, 2007
- Last updated
- Mar 15, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16746 | FL | Primary |
| Professional Counselor | 101YP2500X | 0701001421 | VA | |
| Marriage & Family Therapist | 106H00000X | MFT158 | TN | |
| Marriage & Family Therapist | 106H00000X | MFT 158 | TN |
Addresses
Primary practice location
3005 W Euclid Ave
Tampa, FL 33629-8954
Mailing address
4520 W Oakellar Ave
Tampa, FL 33611-3114
Phone (813) 833-0162
Other practice location 1
13801 Bruce B Downs Blvd Ste 406
Tampa, FL 33613-3923
Phone (813) 296-5056
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC0701001421 | Other | VA | BEHAVIORAL PAIN MANAGEMENT |
| MH16746 | Other | FL | BEHAVIORAL PAIN MANAGEMENT |
| MFT53 | Other | TN | BEHAVIORAL PAIN MANAGEMENT |
| LPC321 | Other | TN | BEHAVIOR PAIN MANAGEMENT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH16746 | FL | MD | Mental Health Counselor |
| 0701001421 | VA | MD | Professional Counselor |
| MFT 158 | TN | MD | Marriage & Family Therapist |
| MFT158 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Pain Specialists LLC | Mental Health | Current | Accepting new patients |
| Symedica LLC | Mental Health | Current | Accepting new patients |
| Pulido Coates and Associates LLC | Counselor | Current | Accepting new patients |
Locations
13801 Bruce B Downs Blvd
Ste 406
Tampa, FL 33613
Phone (813) 345-2380
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Behavioral Pain Specialists of Florida
- Mental Health Counselor
- Tampa, FL
- NPI 1134975881
-
dba Clinical and Family Therapy Associates
- Mental Health Counselor
- Tampa, FL
- NPI 1518302231
-
- Mental Health Counselor
- Tampa, FL
- NPI 1194654830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1811102601",
"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": "813-833-0162",
"fax_number": "888-805-1859"
},
{
"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": "813-508-1859"
}
],
"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": "813-296-5056",
"fax_number": "888-850-1859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COATES",
"first_name": "BOBBY",
"middle_name": "LLOYD",
"name_prefix": "Mr.",
"credential": "LMHC, LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16746",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001421",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "MFT158",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "MFT 158",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL PAIN MANAGEMENT",
"identifier": "LPC0701001421",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL PAIN MANAGEMENT",
"identifier": "MH16746",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL PAIN MANAGEMENT",
"identifier": "MFT53",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR PAIN MANAGEMENT",
"identifier": "LPC321",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 15, 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.