MEDICARE: SIESTA ADDICTIONS SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
5	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1841763844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIESTA ADDICTIONS SPECIALISTS

Provider Business Mailing Address
First Line	:	715 N WASHINGTON BLVD STE E
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-4256
Country	:	US
Telephone Number	:	941-343-7244
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 N WASHINGTON BLVD STE E
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-4256
Country	:	US
Telephone Number	:	941-343-7244
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. KIMBERLY SMITH BENSON
Credential	:	LMHC
Telephone Number	:	941-343-7244

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	10/18/2023

Similar Medicare Providers

1760344550 — BRITTANY WENTZEL
Practice Location Address:

715 N WASHINGTON BLVD
SARASOTA, FL
34236-4256

Practice Phone: 941-256-3725
Practice Fax:

1689907529 — MRS. KIMBERLY SMITH BENSON LMHC
Practice Location Address:

715 NORTH WASHINGTON BLVD , SARASOTA
SARASOTA, FL
34236-4256

Practice Phone: 941-343-7244
Practice Fax:

1780926204 — SMITH PSYCHOTHERAPY
Practice Location Address:

715 N WASHINGTON BLVD , SUITE E
SARASOTA, FL
34236-4256

Practice Phone: 941-343-7244
Practice Fax:

1063754570 — BENSON CIOTTI WEST
Practice Location Address:

715 N WASHINGTON BLVD , SUITE E
SARASOTA, FL
34236-4256

Practice Phone: 941-343-7244
Practice Fax:

1588032353 — SHAUNA BISPHAM M.A., LMHC
Practice Location Address:

715 N WASHINGTON BLVD
SARASOTA, FL
34236-4256

Practice Phone: 941-404-5557
Practice Fax:

1871084822 — BISPHAM PSYCHOTHERAPY INC.
Practice Location Address:

715 N WASHINGTON BLVD STE A
SARASOTA, FL
34236-4256

Practice Phone: 941-404-5557
Practice Fax:

Directions to “SIESTA ADDICTIONS SPECIALISTS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.