180 Counseling Group LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

180 COUNSELING GROUP LLC

Practice address

4143 Day Bridge PL
Ellenton, FL 34222-7236

Phone

(941) 348-4059

Fax

(941) 803-4215

NPI assigned

May 25, 2023

Last updated

Dec 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eddie CollinsNPI 1700835352

Title

Owner

Phone

(941) 348-4059

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eddie Lee Collins Jr., LMHC

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1700835352
  NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1821780040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 72ND AVE E UNIT 583",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342227021",
            "telephone_number": "941-348-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 DAY BRIDGE PL",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342227236",
            "telephone_number": "941-348-4059",
            "fax_number": "941-803-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-348-4059"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Ellenton, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.