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E5 THERAPY INC.
NPI 1083390124
Counselor - Mental Health in Tampa, FL

Active since June 23, 2023
410 S WARE BLVD STE 844, TAMPA, FL 33619(813) 362-6788(813) 803-7348 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2024, Dec 11, 2023, Jun 23, 2023 (3 updates tracked since 2023).

About E5 Therapy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

E5 THERAPY INC. (NPI 1083390124) is a healthcare organization registered as a mental health in Tampa, Florida and active in the NPI registry since June 2023. The organization lists Matthew Eilers Decker, Executive Director/board President, as its authorized official.

NPPES Registry Identity

NPI1083390124
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameE5 THERAPY INC.
Location Address410 S WARE BLVD STE 844Tampa, FL 33619-4469
Mailing Address333 Sunset Ave Ste 200Suisun City, CA 94585-2003 · (707) 225-7899 · Fax (707) 759-3810
Phone(813) 362-6788
Fax(813) 803-7348
Organization SubpartYesParent: E5 Therapy
Authorized OfficialMatthew Eilers DeckerExecutive Director/board President · (602) 363-3156
Enumeration DateJune 23, 2023
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1083390124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
410 S WARE BLVD STE 844, Tampa, FL 33619
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

E5 Therapy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to E5 Therapy Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Beasley, LMHC,LPC
Mental Health Counselor
NPI 1558945394
410 S WARE BLVD STE 844
Tampa, FL 33619
(813) 362-6788
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is E5 Therapy Inc.'s NPI number?

The NPI number for E5 Therapy Inc. is 1083390124. It was assigned to this organization in the NPPES registry on June 23, 2023.

Where is E5 Therapy Inc. located?

E5 Therapy Inc. is located at 410 S Ware Blvd Ste 844, Tampa, FL 33619. The listed phone number is (813) 362-6788.

What is E5 Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is E5 Therapy Inc. enrolled in Medicare?

Yes. E5 Therapy Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through E5 Therapy Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to E5 Therapy Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for E5 Therapy Inc. was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.