MEDICARE: DR. AMY A BRADSHAW HOPPOCK PHD, LMHC, CAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	MH9356	FL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAP2633	FL
3	101YP2500X	Professional Counselor	CCMH0187551	NM
4	101YM0800X	Mental Health Counselor	MH9356	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538531876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY A BRADSHAW HOPPOCK PHD, LMHC, CAP

Provider Business Mailing Address
First Line	:	5915 BENJAMIN CENTER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5239
Country	:	US
Telephone Number	:	813-887-3300
Fax Number	:	813-889-8092

Provider Business Practice Location Address
First Line	:	5915 BENJAMIN CENTER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5239
Country	:	US
Telephone Number	:	813-887-3300
Fax Number	:	813-889-8092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	02/28/2025

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