NPIMap

Organization Active NPI

Treatment Centers of America, LLC

Doing business as Behavioral Health Centers

  • Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
National Provider Identifier
1225743032
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TREATMENT CENTERS OF AMERICA, LLC
Doing business as
Behavioral Health Centers
Practice address
1405 SE Goldtree Dr Ste a-B
Port St Lucie, FL 34952-7563
Phone
(855) 700-0327
Fax
(561) 828-8195
NPI assigned
Jan 16, 2023
Last updated
Dec 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOENIX BEHAVIORAL HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Authorized official

Name
Annamarie Ackner
Title
Coo
Phone
(772) 248-4800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1405 SE Goldtree Dr Ste a-B
Port St Lucie, FL 34952-7563

Mailing address

401 Old Dixie Hwy Unit 3329
Jupiter, FL 33469-2433
Phone (772) 248-4800

Other practice location 1

2100 SE Hillmoor Dr Ste 204B
Port St Lucie, FL 34952-8057
Phone (561) 556-8204

Other names 2

  • Behavioral Health Centers Doing business as
  • TCOA 2100 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240815004696 FL Part B Supplier - Clinic/Group Practice 7810435294 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Port Saint Lucie, FL; Wildwood, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D2274810Treatment Centers of America LLC1405 SE Goldtree Drive Suite a-D, Port Saint Lucie, FL 34952Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

1405 SE Goldtree Dr
Ste Ab
Port St Lucie, FL 34952
Phone (855) 700-0327

2100 SE Hillmoor Dr
Ste 204B
Port St Lucie, FL 34952
Phone (561) 556-8204

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766793600000",
    "number": "1225743032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OLD DIXIE HWY UNIT 3329",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334692433",
            "telephone_number": "772-248-4800",
            "fax_number": "772-477-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE GOLDTREE DR STE A-B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527563",
            "telephone_number": "855-700-0327",
            "fax_number": "561-828-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 SE Hillmoor Dr Ste 204B",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349528057",
            "country_code": "US",
            "telephone_number": "561-556-8204",
            "fax_number": "772-477-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREATMENT CENTERS OF AMERICA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX BEHAVIORAL HEALTHCARE, LLC",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "ACKNER",
        "authorized_official_first_name": "ANNAMARIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "772-248-4800"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TCOA 2100",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TCOA 2100",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.