Organization Active NPI

Centerpointe Counseling and Recovery of Sarasota

  • Counselor
  • Venice, FL
National Provider Identifier
1013359926
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CENTERPOINTE COUNSELING AND RECOVERY OF SARASOTA
Practice address
425 Commercial CT
Siute 100
Venice, FL 34292-1648
Phone
(941) 488-4811
Fax
(941) 488-4899
NPI assigned
Jul 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Ms. Carrie Lynn Phelps, LMHC, CAP
Title
Director/ Therapist
Phone
(941) 915-8167

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

425 Commercial CT
Siute 100
Venice, FL 34292-1648

Mailing address

425 Commercial CT
Siute 100
Venice, FL 34292-1648
Phone (941) 488-4811

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2080444Centerpointe Counseling and Recovery of Sarasota425 Commercial CT - Suite I, Venice, FL 34292Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Centerpointe Counseling and Recovery of Sarasota3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 Commercial Ct
#100
Venice, FL 34292
Phone (941) 228-3562

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1013359926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COMMERCIAL CT",
            "address_2": "SIUTE 100",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921648",
            "telephone_number": "941-488-4811",
            "fax_number": "941-488-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COMMERCIAL CT",
            "address_2": "SIUTE 100",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921648",
            "telephone_number": "941-488-4811",
            "fax_number": "941-488-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINTE COUNSELING AND RECOVERY OF SARASOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR/ THERAPIST",
        "authorized_official_telephone_number": "941-915-8167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.