Organization Active NPI

Soul Journey Matters LLC

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1396421665
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUL JOURNEY MATTERS LLC
Practice address
7125 Fruitville Rd Unit 1214
Sarasota, FL 34240-8957
Phone
(316) 461-5245
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Samantha ManginoNPI 1073166757
Title
Owner
Phone
(316) 461-5245

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
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7125 Fruitville Rd Unit 1214
Sarasota, FL 34240-8957

Mailing address

7125 Fruitville Rd Unit 1214
Sarasota, FL 34240-8957
Phone (316) 461-5245

Other practice location 1

3922 Rockefeller Ave
Sarasota, FL 34231-8653
Phone (941) 677-8820 ext. 78220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919002795 FL Part B Supplier - Clinic/Group Practice 8527422831 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

7125 Fruitville Rd
Unit 1214
Sarasota, FL 34240
Phone (316) 461-5245

7125 Fruitville Rd
Ste 1214
Sarasota, FL 34240
Phone (316) 461-5245

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": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1396421665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 FRUITVILLE RD UNIT 1214",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408957",
            "telephone_number": "316-461-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 FRUITVILLE RD UNIT 1214",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408957",
            "telephone_number": "316-461-5245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3922 Rockefeller Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342318653",
            "country_code": "US",
            "telephone_number": "941-677-8820 x78220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUL JOURNEY MATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "MANGINO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-461-5245"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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 24, 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.