Active NPI
Timothy Collins Jr.
- Mental Health Counselor
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12401 NE 16TH Ave Apt 425
North Miami, FL 33161-6003 - Phone
- (786) 495-6503
- NPI assigned
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
12401 NE 16TH Ave Apt 425
North Miami, FL 33161-6003
Mailing address
12401 NE 16TH Ave Apt 425
North Miami, FL 33161-6003
Phone (786) 495-6503
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Living Memory Health, Inc. | Current | Accepting new patients | |
| 5A Therapy LLC | Current | Accepting new patients | |
| Dade Family Counseling Community Mental Health Center, Inc | Current | Accepting new patients |
Locations
2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000
9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022
1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220
16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817
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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1427055417
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1851847834
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Miami, FL
- NPI 1912773359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1831559707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 NE 16TH AVE APT 425",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331616003",
"telephone_number": "786-495-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 NE 16TH AVE APT 425",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331616003",
"telephone_number": "786-495-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-04",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.