CLEETHERAPY
NPI 1700445350
Clinic/Center - Mental Health (Including Community Mental Health Center) in Palm Coast, FL
About Cleetherapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEETHERAPY (NPI 1700445350) is a healthcare organization registered as a mental health (including community mental health center) in Palm Coast, Florida and active in the NPI registry since June 2019. The organization lists Christina Lee, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cleetherapy 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 Cleetherapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Palm Coast, FL 32137
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 Cleetherapy's NPI number?
The NPI number for Cleetherapy is 1700445350. It was assigned to this organization in the NPPES registry on June 7, 2019.
Where is Cleetherapy located?
Cleetherapy is located at 395 Palm Coast Pkwy SW Unit 4, Palm Coast, FL 32137. The listed phone number is (904) 512-0018.
What is Cleetherapy'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 Cleetherapy enrolled in Medicare?
Yes. Cleetherapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cleetherapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Cleetherapy. 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 Cleetherapy was last updated on January 29, 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.
# Cleetherapy · NPI 1700445350
Mental Health (Including Community Mental Health Center) organization in Palm Coast, Florida. Organization record, active in the CMS NPPES registry since June 7, 2019.
## Identity
- **NPI:** 1700445350 (Entity type: Organization)
- **Enumerated:** June 7, 2019
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Christina Lee, MANAGER
## Practice location
- **Address:** 395 PALM COAST PKWY SW UNIT 4, Palm Coast, FL 32137-4768
- **Phone:** (904) 512-0018 · **Fax:** (904) 990-1680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700445350) · Data from the CMS NPPES public registry.