Individual provider Active NPI

Jeffrey Richard Klein, MS

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1124294319
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18746 Issued in FL
Practice address
3691 Kingston Blvd
Sarasota, FL 34238-2623
Phone
(941) 299-2023
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18746 FL Primary

Addresses

Primary practice location

3691 Kingston Blvd
Sarasota, FL 34238-2623

Mailing address

3691 Kingston Blvd
Sarasota, FL 34238-2623
Phone (941) 299-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116002402 FL Practitioner - Mental Health Counselor 8527410588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6981 Curtiss Ave
Suite 4
Sarasota, FL 34231-8111
Phone (941) 299-2023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Group LLC Mental Health CurrentSince Jan 9, 2024 Accepting new patients

Locations

6981 Curtiss Ave
Ste 4
Sarasota, FL 34231
Phone (941) 299-2023

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1124294319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 KINGSTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382623",
            "telephone_number": "941-299-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 KINGSTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382623",
            "telephone_number": "941-299-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.