NPIMap

Organization Active NPI

Lightshare Behavioral Wellness and Recovery

  • Community/Behavioral Health Agency
  • Sarasota, FL
National Provider Identifier
1881264901
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY
Practice address
1750 17TH St Ste G
Sarasota, FL 34234-8666
Phone
(941) 552-2075
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Shawndra Robey
Title
Ceo
Phone
(941) 366-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1750 17TH St Ste G
Sarasota, FL 34234-8666

Mailing address

4579 Northgate CT
Sarasota, FL 34234-2124

Other practice location 1

2208 Castillo Ave
Punta Gorda, FL 33950-4315
Phone (941) 366-5333

Other identifiers 1

IdentifierTypeStateIssuer
108695100MedicaidFL

Other names 1

  • FIRST STEP OF SARASOTA, INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
First Step of Sarasota Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2208 Castillo Ave
Punta Gorda, FL 33950
Phone (941) 639-5535

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1881264901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 NORTHGATE CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342342124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348666",
            "telephone_number": "941-552-2075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 Castillo Ave",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339504315",
            "country_code": "US",
            "telephone_number": "941-366-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ROBEY",
        "authorized_official_first_name": "SHAWNDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-366-5333"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108695100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST STEP OF SARASOTA, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 2, 2023; 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.