Organization Active NPI

Mental Wellness Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Sarasota, FL
National Provider Identifier
1225750110
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MENTAL WELLNESS THERAPY, LLC
Practice address
6497 Parkland Dr
Sarasota, FL 34243-4097
Phone
(941) 212-2040
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Shpresa Kaletsch, LCSWNPI 1124566971
Title
Social Worker
Phone
(941) 212-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6497 Parkland Dr
Sarasota, FL 34243-4097

Mailing address

11806 Acorn Woods Ter
Lakewood Ranch, FL 34202-2801
Phone (941) 212-2040

National Provider Directory

National Provider Directory

Locations

6497 Parkland Dr
Sarasota, FL 34243
Phone (941) 212-2040

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": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1225750110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 ACORN WOODS TER",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022801",
            "telephone_number": "941-212-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6497 PARKLAND DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434097",
            "telephone_number": "941-212-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "KALETSCH",
        "authorized_official_first_name": "SHPRESA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "941-212-2040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.