Soul Space Therapy, Llc - Medicare Mental Health Clinic in Punta Gorda, FL

Soul Space Therapy, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Punta Gorda, Florida. The current practice location for Soul Space Therapy, Llc is 25078 Purple Emperor Way, Punta Gorda, Florida. For appointments, you can reach them via phone at (810) 845-6090. The mailing address for Soul Space Therapy, Llc is 25078 Purple Emperor Way, Punta Gorda, Florida and phone number is (810) 845-6090.

Soul Space Therapy, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700354339. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (810) 845-6090.

Contact Information

Soul Space Therapy, Llc
25078 Purple Emperor Way
Punta Gorda
FL 33955-6220
(810) 845-6090
(941) 467-1723

Map and Direction


Mental Health Clinic Profile

Full NameSoul Space Therapy, Llc
SpecialitySocial Worker
Location25078 Purple Emperor Way, Punta Gorda, Florida
Authorized Official Name and PositionJanie Janine Brynolf (OWNER/CLINICAL THERAPIST)
Authorized Official Contact8108456090
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Soul Space Therapy, Llc
25078 Purple Emperor Way
Punta Gorda
FL 33955-6220

Ph: (810) 845-6090
Soul Space Therapy, Llc
25078 Purple Emperor Way
Punta Gorda
FL 33955-6220

Ph: (810) 845-6090

NPI Details:

NPI Number1700354339
Provider Enumeration Date11/13/2018
Last Update Date10/27/2021
Certification Date10/27/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7911244470
Medicare Enrollment IDO20190123000657

Medical Identifiers

Medical identifiers for Soul Space Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700354339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Soul Space Therapy, Llc acts as a billing entity for following providers:
Provider NameJanie J Brynolf
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104192400
PECOS PAC ID: 2668741489
Enrollment ID: I20190123001059

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.