Active NPI
Calusa Recovery Services, LLC
- Adult Mental Health Clinic/Center
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CALUSA RECOVERY SERVICES, LLC
- Practice address
- 15611 New Hampshire CT Ste a
Fort Myers, FL 33908-4172 - Phone
- (239) 738-5573
- NPI assigned
- Nov 13, 2018
- 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
- Mr. Daniel Regan
- Title
- Owner/Ceo
- Phone
- (732) 962-5442
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
15611 New Hampshire CT Ste a
Fort Myers, FL 33908-4172
Mailing address
15611 New Hampshire CT Ste a
Fort Myers, FL 33908-4172
Phone (732) 962-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230613000960 | FL | Part A Provider - Community Mental Health Center | 5991162521 | Practice locations: Fort Myers, FL |
Community mental health center certification: CCN 684669
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CALUSA RECOVERY SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Community mental health center
- Participating since
- Jul 29, 2024
- Last certification
- Jul 29, 2024
- Ownership / control type
- For profit – individual
- Facility address
- 15611 New Hampshire CT Ste a
Fort Myers, FL 33908
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2281871 | Calusa Recovery Services LLC | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
15611 New Hampshire Ct
Ste A
Fort Myers, FL 33908
Phone (239) 738-5573
34 W Main St
Freehold, NJ 07728
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fort Myers, FL
- NPI 1912457268
-
- Psychiatry Physician
- Woodcliff Lake, NJ
- NPI 1376957761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1912475534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15611 NEW HAMPSHIRE CT STE A",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084172",
"telephone_number": "732-962-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15611 NEW HAMPSHIRE CT STE A",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084172",
"telephone_number": "239-738-5573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALUSA RECOVERY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "REGAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "732-962-5442",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.