Organization Active NPI

Kelly Ann Dowiak PLLC

  • Community/Behavioral Health Agency
  • Sarasota, FL
National Provider Identifier
1285452524
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KELLY ANN DOWIAK PLLC
Doing business as
Kelly Ann Dowiak PLLC
Practice address
630 S Orange Ave Ste 302D
Sarasota, FL 34236-7504
Phone
(724) 591-2440
NPI assigned
Sep 26, 2024
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Kelly Ann Dowiak, LMHCNPI 1477892396
Title
Owner
Phone
(724) 591-2440

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

630 S Orange Ave Ste 302D
Sarasota, FL 34236-7504

Mailing address

718 Lyons LN
Longboat Key, FL 34228-1427
Phone (724) 591-2440

Other practice location 1

595 Bay Isles Rd Ste 125D
Longboat Key, FL 34228-3149
Phone (724) 591-2440

Other names 1

  • Kelly Ann Dowiak PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010001122 FL Part B Supplier - Clinic/Group Practice 2961934393 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

595 Bay Isles Rd
Ste 125D
Longboat Key, FL 34228
Phone (724) 591-2440

630 S Orange Ave
Ste 302D
Sarasota, FL 34236
Phone (724) 591-2440

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1285452524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LYONS LN",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342281427",
            "telephone_number": "724-591-2440",
            "fax_number": "412-774-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S ORANGE AVE STE 302D",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367504",
            "telephone_number": "724-591-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Bay Isles Rd Ste 125D",
            "address_purpose": "LOCATION",
            "city": "Longboat Key",
            "state": "FL",
            "postal_code": "342283149",
            "country_code": "US",
            "telephone_number": "724-591-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLY ANN DOWIAK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "DOWIAK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-591-2440",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Ann Dowiak PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.