SOUTHWEST FLORIDA SPORTS COUNSELING LLC
NPI 1457002164
Counselor - Mental Health in Cape Coral, FL
About Southwest Florida Sports Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST FLORIDA SPORTS COUNSELING LLC (NPI 1457002164), doing business as Swfl Sports Counseling, is a healthcare organization registered as a mental health in Cape Coral, Florida and active in the NPI registry since January 2022. The organization lists Kimberly A Rogers, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Florida Sports Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southwest Florida Sports Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Cape Coral, FL 33904
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 Southwest Florida Sports Counseling LLC's NPI number?
The NPI number for Southwest Florida Sports Counseling LLC is 1457002164. It was assigned to this organization in the NPPES registry on January 13, 2022. The provider is doing business as SWFL Sports Counseling.
Where is Southwest Florida Sports Counseling LLC located?
Southwest Florida Sports Counseling LLC is located at 621 Cape Coral Pkwy E Ste 19C, Cape Coral, FL 33904. The listed phone number is (941) 677-8002.
What is Southwest Florida Sports Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Southwest Florida Sports Counseling LLC enrolled in Medicare?
Yes. Southwest Florida Sports Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Florida Sports Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Southwest Florida Sports Counseling 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southwest Florida Sports Counseling LLC was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Southwest Florida Sports Counseling Llc · NPI 1457002164
Mental Health organization in Cape Coral, Florida. Organization record, active in the CMS NPPES registry since January 13, 2022.
## Identity
- **NPI:** 1457002164 (Entity type: Organization)
- **Enumerated:** January 13, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** SWFL Sports Counseling (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Rogers, OWNER
## Practice location
- **Address:** 621 CAPE CORAL PKWY E STE 19C, Cape Coral, FL 33904-8548
- **Phone:** (941) 677-8002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1457002164) · Data from the CMS NPPES public registry.