Statera Psychotherapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STATERA PSYCHOTHERAPY LLC

Practice address

19730 Morden Blush Dr
Lutz, FL 33558-9088

Phone

(813) 438-6115

Fax

(813) 296-2115

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Katalin Vinczi-Sierra, LCSWNPI 1316564149

Title

Member-Manager

Phone

(813) 438-6115

Specialties & licenses 3

Addresses

Practitioners 1

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

• Katalin Vinczi-Sierra

  • Clinical Social Worker
  • Wesley Chapel, FL
  • NPI 1316564149
  NPD Authorized official

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1699403147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 MORDEN BLUSH DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589088",
            "telephone_number": "813-438-6115",
            "fax_number": "813-296-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19730 MORDEN BLUSH DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589088",
            "telephone_number": "813-438-6115",
            "fax_number": "813-296-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATERA PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "VINCZI-SIERRA",
        "authorized_official_first_name": "KATALIN",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "813-438-6115",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni-Ann Stansell
• Cheyenne Blue Starczewski, LMHC
• Brooke Starr, AGACNP-BC
• Stars Counseling Services, LLC
• Stars Medical Group LLC
• Michele K Staudenmaier, OTLR
• Christina Stenholm, LMHC #5331
• Sabrina Hope Stephan
• Ronald Eugene Stephans Jr., MD
• Gregory Stephens, R.PH.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lutz, FL
• Providers in Lutz, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.