Active NPI
Eliza Andrzejczyk
- Mental Health Counselor
- Myakka City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 25366
- Practice address
- 40555 Clay Gully Rd
Myakka City, FL 34251-5930 - Phone
- (941) 735-3258
- NPI assigned
- May 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 25366 | FL | Primary |
Addresses
Primary practice location
40555 Clay Gully Rd
Myakka City, FL 34251-5930
Mailing address
5220 Levi LN
Sarasota, FL 34233-5224
Phone (941) 735-3258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
7000 W Palmetto Park Rd
Suite 308
Boca Raton, FL 33433-3429
Phone (718) 506-1115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25366 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center of Revitalizing Psychiatry, P.C. | Current | Accepting new patients | |
| Step Up Care LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Center of Revitalizing Psychiatry PC | Past | Accepting new patients |
Locations
7280 W Palmetto Park Rd
Ste 302N
Boca Raton, FL 33433
Phone (718) 298-2753
7000 W Palmetto Park Rd
Ste 308
Boca Raton, FL 33433
Phone (833) 244-5700
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
2033 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 677-3366
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Psychiatry Physician
- Boca Raton, FL
- NPI 1386296556
-
- Psychiatry Physician
- Rochelle Park, NJ
- NPI 1356497960
-
- Adult Mental Health Clinic/Center
- Sarasota, FL
- NPI 1538572854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1487180147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 LEVI LN",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342335224",
"telephone_number": "941-735-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40555 CLAY GULLY RD",
"city": "MYAKKA CITY",
"state": "FL",
"postal_code": "342515930",
"telephone_number": "941-735-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRZEJCZYK",
"first_name": "ELIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "25366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myakka City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.