Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BANYAN SEBRING
NPI 1417690348
Substance Abuse Rehabilitation Facility in Sebring, FL

Active since April 19, 2022CLIA Certified · 2 labs
1062 LAKE SEBRING DR, SEBRING, FL 33870(863) 451-0084(863) 658-4120 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, May 13, 2025, Aug 2, 2024 and 2 more (5 updates tracked since 2022).

About Banyan Sebring NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANYAN SEBRING (NPI 1417690348) is a healthcare organization registered as a substance abuse rehabilitation facility in Sebring, Florida and active in the NPI registry since April 2022. The organization holds 2 active CLIA laboratory certificates and lists Anastasia Nichole Nauman, Contracting And Cred Manger, as its authorized official.

NPPES Registry Identity

NPI1417690348
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBANYAN SEBRING
Location Address1062 LAKE SEBRING DRSebring, FL 33870-1426
Mailing Address225 N Federal HwyPompano Beach, FL 33062-4319 · (900) 023-5561 · Fax (954) 781-7173
Fax(863) 658-4120
Organization SubpartNo
Authorized OfficialAnastasia Nichole NaumanContracting And Cred Manger · (410) 800-8861
Enumeration DateApril 19, 2022
Last NPPES UpdateJuly 15, 20265 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1417690348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
1062 LAKE SEBRING DR, Sebring, FL 33870

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2262301

Banyan Sebring, LLC · Sebring, FL
Active · expires Jun 12, 2028
CLIA Number10D2262301
Laboratory TypeSud And Mh Treatment
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorJoseph Tuttle
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Sebring, LLC1062 Lake Sebring Dr, Sebring, FL 33870
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2320579

Banyan Sebring LLC Dba Banyan Tampa · Seminole, FL
Active · expires Mar 19, 2027
CLIA Number10D2320579
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorNarissa Etwaroo
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Sebring LLC Dba Banyan Tampa10800 Temple Terrace, Seminole, FL 33772
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
1062 LAKE SEBRING DR
SEBRING, FL 33870
Counselor (Addiction (Substance Use Disorder))
1062 LAKE SEBRING DR
SEBRING, FL 33870
Counselor (Mental Health)
1062 LAKE SEBRING DR
SEBRING, FL 33870
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1062 LAKE SEBRING DR
SEBRING, FL 33870
Counselor (Mental Health)
1062 LAKE SEBRING DR
SEBRING, FL 33870
Counselor (Mental Health)
1062 LAKE SEBRING DR
SEBRING, FL 33870

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 Banyan Sebring's NPI number?

The NPI number for Banyan Sebring is 1417690348. It was assigned to this organization in the NPPES registry on April 19, 2022.

Where is Banyan Sebring located?

Banyan Sebring is located at 1062 Lake Sebring Dr, Sebring, FL 33870. The listed phone number is (863) 451-0084.

What is Banyan Sebring's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Banyan Sebring hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banyan Sebring accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Banyan Sebring 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 Banyan Sebring was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.