Organization Active NPI

Interpersonal Paracletic Counseling Services Siesta Key Nature

  • Clinical Social Worker
  • Nokomis, FL
National Provider Identifier
1861362246
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTERPERSONAL PARACLETIC COUNSELING SERVICES SIESTA KEY NATURE
Practice address
5856 Biscotti St
Nokomis, FL 34275-2447
Phone
(941) 780-9030
Fax
(941) 342-3405
NPI assigned
Nov 10, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Penny Gray
Title
MGR
Phone
(941) 377-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5856 Biscotti St
Nokomis, FL 34275-2447

Mailing address

5856 Biscotti St
Nokomis, FL 34275-2447
Phone (941) 780-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119001558 FL Part B Supplier - Clinic/Group Practice 2062903800 Receives reassigned benefits from 1 practitioner
Practice locations: Nokomis, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1861362246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 BISCOTTI ST",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752447",
            "telephone_number": "941-780-9030",
            "fax_number": "941-342-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5856 BISCOTTI ST",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752447",
            "telephone_number": "941-780-9030",
            "fax_number": "941-342-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERPERSONAL PARACLETIC COUNSELING SERVICES SIESTA KEY NATURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "941-377-7622"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.