Active NPI
Landry Therapy and Wellness
- Mental Health Counselor
- Port Charlotte, FL
National Provider Identifier
1639890221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LANDRY THERAPY AND WELLNESS
- Practice address
- 1720 El Jobean Rd Unit 202
Port Charlotte, FL 33948-1279 - Phone
- (941) 524-2673
- Fax
- (941) 240-9027
- NPI assigned
- Sep 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Landry
- Title
- Cfo
- Phone
- (941) 524-2673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1720 El Jobean Rd Unit 202
Port Charlotte, FL 33948-1279
Mailing address
16896 Sol Preserve Dr
Port Charlotte, FL 33953-2295
Phone (941) 524-2673
Other practice location 1
1500 E Venice Ave Unit 408
Venice, FL 34292-1660
Phone (941) 524-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1720 El Jobean Rd
Unit 202
Port Charlotte, FL 33948
Phone (941) 524-2673
1500 E Venice Ave
Unit 408
Venice, FL 34292
Phone (941) 524-2673
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Mental Health Counselor
- Avon Park, FL
- NPI 1295160034
-
- Mental Health Counselor
- Port Charlotte, FL
- NPI 1366297996
-
- Mental Health Counselor
- Lake Worth, FL
- NPI 1407342587
-
- Clinical Social Worker
- West Palm Beach, FL
- NPI 1013199306
-
- Clinical Social Worker
- Port Charlotte, FL
- NPI 1962354936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1639890221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16896 SOL PRESERVE DR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339532295",
"telephone_number": "941-524-2673",
"fax_number": "941-240-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 EL JOBEAN RD UNIT 202",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481279",
"telephone_number": "941-524-2673",
"fax_number": "941-240-9027"
}
],
"practiceLocations": [
{
"address_1": "1500 E Venice Ave Unit 408",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342921660",
"country_code": "US",
"telephone_number": "941-524-2673",
"fax_number": "941-240-9027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LANDRY THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-12",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "LANDRY",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "941-524-2673"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.