NPIMap

Organization Active NPI

Siesta Addictions Specialists

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1821682857
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SIESTA ADDICTIONS SPECIALISTS
Practice address
715 N Washington Blvd Ste E
Sarasota, FL 34236-4256
Phone
(941) 343-7244
NPI assigned
Feb 20, 2021
Organization subpart
Yes
Parent organization
SIESTA ADDICTIONS SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Authorized official

Name
Dr. Kimberly Smith Benson, EDDNPI 1689907529
Title
Ceo
Phone
(941) 343-7244

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

715 N Washington Blvd Ste E
Sarasota, FL 34236-4256

Mailing address

715 N Washington Blvd Ste E
Sarasota, FL 34236-4256
Phone (941) 343-7244

Other names 1

  • MindSol Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mindsolsarasota@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Siesta Addictions Specialists2 organizations share this tax ID, including this one
Part of
Siesta Addictions Specialists

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1821682857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N WASHINGTON BLVD STE E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364256",
            "telephone_number": "941-343-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N WASHINGTON BLVD STE E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364256",
            "telephone_number": "941-343-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIESTA ADDICTIONS SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIESTA ADDICTIONS SPECIALISTS",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-343-7244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindsolsarasota@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "715 N Washington Blvd Ste E",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342364256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MindSol Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 20, 2021; 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.