Collaborative Minds Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLABORATIVE MINDS THERAPY LLC

Practice address

3002 SE 1St Ave Ste 200
Ocala, FL 34471-0482

Phone

(352) 403-0875

Fax

(352) 309-6006

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

April Russell, LCSWNPI 1720762313

Title

Owner/Authorized Official

Phone

(352) 403-0875

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• April Russell, LCSW

  • Clinical Social Worker
  • Ocala, FL
  • NPI 1720762313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1912785445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710482",
            "telephone_number": "352-403-0875",
            "fax_number": "352-309-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710482",
            "telephone_number": "352-403-0875",
            "fax_number": "352-309-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "352-403-0875",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Colclough, FNP-C
• Kereon M Cole
• Kristine Anita Cole, LDO
• Melissa Coleman
• Jody Elayne Coletta
• Victoria Colleli
• Courtenay B Collins, LCSW
• Kanita Collins
• Kimberly Jean Collins, APRN
• Marla Collins, MS

• Clinical Social Worker in Ocala, FL
• Providers in Ocala, 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 May 27, 2026; 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.