Charis Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHARIS CENTER

Practice address

4041 Bahia Vista St.
Sarasota, FL 34233

Phone

(941) 378-1549

Fax

(940) 342-1781

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dale Stoll

Title

President/Board of Directors

Phone

(941) 378-1549

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Charis Center Other name

Locations

Practitioners 7

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

• Diane K. Brantley, LCSW

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1366451874
  NPD (past)
• Kara Lynn Bumgarner, MHC

  • Mental Health Counselor
  • Osprey, FL
  • NPI 1699920645
  NPD (past)
• Christine B Collins, LCSW

  • Clinical Social Worker
  • Sarasota, FL
  • NPI 1740351840
  NPD (past)
• Janet L. Logalbo, LCSW

  • Clinical Social Worker
  • Sarasota, FL
  • NPI 1043391956
  NPD (past)
• Lauren Nicole Mauck, M.A, L.M.F.T.

  • Marriage & Family Therapist
  • Sarasota, FL
  • NPI 1578718441
  NPD (past)
• Robert L. Piper, LMHC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1588770010
  NPD (past)
• Glen M. Denlinger, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1972512572
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1306855853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 BAHIA VISTA STREET",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34232",
            "telephone_number": "941-378-1549",
            "fax_number": "941-342-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 BAHIA VISTA ST.",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-378-1549",
            "fax_number": "940-342-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT/BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "941-378-1549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARISCENTER AETNA GROUP#",
            "identifier": "26181400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "26181400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charis Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Changing Tides Home Health, Inc.
• Steffi Jo Chapin, O.D.
• Karen L Chapman, MD
• Rose Chapman, LCSW
• Moyez Charania, OT, CHT. TPI
• Charles a. D'Amico, D.D.S., P.a.
• Charles Davenport MD PA
• Charles E Liott D C P a
• Charles Elwell III, D.M.D., P.a.
• Charles Loewe MD PA

• Clinical Social Worker in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.