DANDELION BEHAVIORAL HEALTH LLC
NPI 1053028787
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Charlotte, FL
About Dandelion Behavioral Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANDELION BEHAVIORAL HEALTH LLC (NPI 1053028787) is a healthcare organization registered as a mental health (including community mental health center) in Port Charlotte, Florida and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Port Charlotte and lists Tamara Tridle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dandelion Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Dandelion Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dandelion Behavioral Health LLC's NPI number?
The NPI number for Dandelion Behavioral Health LLC is 1053028787. It was assigned to this organization in the NPPES registry on November 2, 2022.
Where is Dandelion Behavioral Health LLC located?
Dandelion Behavioral Health LLC is located at 1777 Tamiami Trl, Port Charlotte, FL 33948. The listed phone number is (941) 780-4268.
What is Dandelion Behavioral Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Dandelion Behavioral Health LLC enrolled in Medicare?
Yes. Dandelion Behavioral Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dandelion Behavioral Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Dandelion Behavioral Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (13) and Clinical Social Worker (7). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dandelion Behavioral Health LLC accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dandelion Behavioral Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dandelion Behavioral Health LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dandelion Behavioral Health Llc · NPI 1053028787
Mental Health (Including Community Mental Health Center) organization in Port Charlotte, Florida. Organization record, active in the CMS NPPES registry since November 2, 2022.
## Identity
- **NPI:** 1053028787 (Entity type: Organization)
- **Enumerated:** November 2, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Tamara Tridle, OWNER
## Practice location
- **Address:** 1777 TAMIAMI TRL, Port Charlotte, FL 33948-1078
- **Phone:** (941) 780-4268
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (13), Clinical Social Worker (7); 4 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053028787) · Data from the CMS NPPES public registry.