Individual provider Active NPI

Eliza Andrzejczyk

  • Mental Health Counselor
  • Myakka City, FL
National Provider Identifier
1487180147
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
25366 Issued in FL
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

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617002297 FL Practitioner - Mental Health Counselor 1658882584 Reassigns benefits to 2 organizations

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
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians
Step Up Care LLCGroup PAC ID 9234468778, 8 clinicians

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

LicenseStateTypeSpecialty
25366FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Revitalizing Psychiatry, P.C. CurrentSince Jul 11, 2025 Accepting new patients
Step Up Care LLC CurrentSince Jun 7, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 13, 2025 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Jul 11, 2025 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.

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

Verify at the official NPI Registry.