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Active NPI 1912785445 Organization (Entity Type 2)

Collaborative Minds Therapy Llc

Social Worker - Clinical • Ocala, FL

About Collaborative Minds Therapy Llc NPI 1912785445 Summary

Collaborative Minds Therapy Llc is a verified healthcare organization specializing in Social Worker - Clinical operating in Ocala, FL. Located at 3002 SE 1ST AVE STE 200, this facility provides patient care and medical services under National Provider Identifier (NPI) 1912785445.

Administrative operations and authorized compliance are overseen by April Russell (Owner/Authorized Official).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3002 Se 1st Ave Ste 200

Ocala, FL 344710482

Telephone 3524030875
Fax 3523096006

Authorized Official Information

Authorized Contact Name

April Russell , LCSW

Title / Role

Owner/authorized Official

Official Telephone

3524030875

Facility Classifications & Specialties

Social Worker - Clinical Primary Taxonomy

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked
Amin Khan , PT NPI 1144372723

Physical Therapist

Ocala, FL

View Practitioner Profile →
Anne Forrest , OT NPI 1306201025

Occupational Therapist - Hand

Ocala, FL

View Practitioner Profile →
April Russell , LCSW NPI 1720762313

Social Worker - Clinical

Ocala, FL

View Practitioner Profile →
Lisa Young , APRN NPI 1982533865

Nurse Practitioner - Psychiatric/Mental Health

Ocala, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
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Updated Practice Location May 27, 2026

Registered at 3002 SE 1ST AVE STE 200, OCALA, FL 344710482 (Tel: 3524030875)

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Updated Business Mailing Address May 27, 2026

Registered at 3002 SE 1ST AVE STE 200, OCALA, FL 344710482 (Tel: 3524030875)

NPI Profile Active September 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2023

Registered at 217 SE 1ST AVE STE 200, OCALA, FL 344712161 (Tel: 3524030875)

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Updated Business Mailing Address September 18, 2023

Registered at 217 SE 1ST AVE STE 200, OCALA, FL 344712161 (Tel: 3524030875)

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Organization / Clinic Name Updated September 18, 2023

Operating as COLLABORATIVE MINDS THERAPY LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Social Worker

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Initial NPI Registration & Enumeration September 18, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1912785445
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 18, 2023
Last Update: May 27, 2026

Mailing Address

3002 Se 1st Ave Ste 200

Ocala, FL 344710482

Phone: 3524030875

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.