Collaborative Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLABORATIVE COUNSELING SERVICES, PLLC

Practice address

7901 4TH St N # 29161
St Petersburg, FL 33702-4305

Phone

(727) 428-8288

Fax

(727) 295-1938

NPI assigned

Oct 7, 2020

Last updated

Jun 9, 2026By 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

Ms. Laura Ida Anthony, LCSWNPI 1114404506

Title

Ceo

Phone

(347) 833-0287

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Laura Ida Anthony, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1114404506

  Mental Health, NC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1922605385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12773 MANGROVE FOREST DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792455",
            "telephone_number": "727-428-8288",
            "fax_number": "727-295-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N # 29161",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "727-428-8288",
            "fax_number": "727-295-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "IDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-833-0287",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

• Sahsha Coleman, MA, LMHC, LMFT
• Shuntae Coleman, AS,AA
• Jerica Janae Coley
• Socrates Colindres, PTA
• Euly Andrea Coll de Gomez
• Sherley Collado Justinano, MD
• Hector Collazo-Ramis, MD
• Murray N Collector, D.C.
• Collier at Tyrone, LLC
• Angela Eleanor Collina, D.O.M., A.P.

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, 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 Jun 9, 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.