Individual provider Active NPI

Bobby Lloyd Coates, LMHC, LPC, LMFT

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1811102601
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16746 Issued in FL
Practice address
3005 W Euclid Ave
Tampa, FL 33629-8954
Phone
(813) 508-1859
NPI assigned
May 14, 2007
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LPC0701001421OtherVABEHAVIORAL PAIN MANAGEMENT
MH16746OtherFLBEHAVIORAL PAIN MANAGEMENT
MFT53OtherTNBEHAVIORAL PAIN MANAGEMENT
LPC321OtherTNBEHAVIOR 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

LicenseStateTypeSpecialty
MH16746FLMDMental Health Counselor
0701001421VAMDProfessional Counselor
MFT 158TNMDMarriage & Family Therapist
MFT158TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Sep 12, 2021 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.

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.

Verify at the official NPI Registry.