Individual provider Active NPI

Timothy Collins Jr.

  • Mental Health Counselor
  • North Miami, FL
National Provider Identifier
1831559707
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327002526 FL Practitioner - Mental Health Counselor 1052758935 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Memory Health, Inc. CurrentSince Sep 21, 2025 Accepting new patients
5A Therapy LLC CurrentSince Dec 3, 2023 Accepting new patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Mar 15, 2024 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.

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

Verify at the official NPI Registry.