Community Wellness Counseling and Support Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11921 Issued in FL

Legal business name

COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES

Practice address

10611 NW State Road 20
Bristol, FL 32321-3441

Phone

(850) 643-1033

Fax

(850) 643-5066

NPI assigned

Jul 22, 2016

Last updated

Sep 18, 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

Mrs. Winter Lynn Collins, LCSWNPI 1538573423

Title

Licensed Clinical Social Worker

Phone

(850) 643-7724

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Community Wellness Counseling and Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Wellness Counseling and Support Services

  • Case Management Agency
  • Bristol, FL
  • NPI 1043966971
  NPD tax ID

Practitioners 4

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.

• Winter Collins, LCSW

  • Clinical Social Worker
  • Bristol, FL
  • NPI 1538573423
  Medicare reassignment NPD Authorized official
• Tracey Marie Aittama, MSW

  • Social Worker
  • Bristol, FL
  • NPI 1295334241
  NPD (past)
• Christopher Bernard Anderson, MSW

  • Clinical Social Worker
  • Bristol, FL
  • NPI 1265919153
  NPD (past)
• Autumn Grace McLemore, MSW

  • Clinical Social Worker
  • Bristol, FL
  • NPI 1952092405
  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1881047041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 NW STATE ROAD 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213441",
            "telephone_number": "850-643-1033",
            "fax_number": "850-643-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 NW STATE ROAD 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213441",
            "telephone_number": "850-643-1033",
            "fax_number": "850-643-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12958 NW Collins Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "FL",
            "postal_code": "323213188",
            "country_code": "US",
            "telephone_number": "850-643-7724",
            "fax_number": "850-643-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "WINTER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "850-643-7724",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11921",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SW11921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020917500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chatter Pediatric Therapy PLLC
• Tai Zimmerman Cole
• Winter Collins, LCSW
• Communication Station & Consulting, LLC
• Community Wellness Counseling and Support Services
• Jennifer Conyers
• Alexandra Cook
• County of Liberty Board of County Commissioners (Liberty County Ambulance Service)
• Britt Jeppson Day, MS, CCC-SLP
• Kennesse Dew

• Clinical Social Worker in Bristol, FL
• Providers in Bristol, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.