ISLAND COAST BEHAVIORAL HEALTH AND THERAPY LLC
NPI 1164303574
Psychiatry & Neurology - Psychiatry in Fort Myers, FL
About Island Coast Behavioral Health And Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND COAST BEHAVIORAL HEALTH AND THERAPY LLC (NPI 1164303574) is a healthcare organization registered as a psychiatry in Fort Myers, Florida and active in the NPI registry since September 2025. The organization lists Piotr Sobolewski, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 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)
Island Coast Behavioral Health And Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Island Coast Behavioral Health And Therapy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Fort Myers, FL 33907
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 Island Coast Behavioral Health And Therapy LLC's NPI number?
The NPI number for Island Coast Behavioral Health And Therapy LLC is 1164303574. It was assigned to this organization in the NPPES registry on September 11, 2025.
Where is Island Coast Behavioral Health And Therapy LLC located?
Island Coast Behavioral Health And Therapy LLC is located at 12381 S Cleveland Ave Ste 506, Fort Myers, FL 33907. The listed phone number is (216) 214-2777.
What is Island Coast Behavioral Health And Therapy LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Island Coast Behavioral Health And Therapy LLC enrolled in Medicare?
Yes. Island Coast Behavioral Health And Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Coast Behavioral Health And Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Island Coast Behavioral Health And Therapy 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 Clinical Social Worker (4) and Nurse Practitioner (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Island Coast Behavioral Health And Therapy LLC accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Island Coast Behavioral Health And Therapy 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 Island Coast Behavioral Health And Therapy LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Island Coast Behavioral Health And Therapy Llc · NPI 1164303574
Psychiatry organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since September 11, 2025.
## Identity
- **NPI:** 1164303574 (Entity type: Organization)
- **Enumerated:** September 11, 2025
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Piotr Sobolewski, MANAGER
## Practice location
- **Address:** 12381 S CLEVELAND AVE STE 506, Fort Myers, FL 33907-3854
- **Phone:** (216) 214-2777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (4), Nurse Practitioner (2); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1164303574) · Data from the CMS NPPES public registry.