Individual provider Active NPI

Meredith Malak

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1215709399
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH24820 Issued in FL
Practice address
1371 13TH St
Sarasota, FL 34236-2503
Phone
(941) 278-2796
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 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 IMH24820 FL Primary

Addresses

Primary practice location

1371 13TH St
Sarasota, FL 34236-2503

Mailing address

1371 13TH St
Sarasota, FL 34236-2503
Phone (941) 278-2796

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
I20251209002164 FL Practitioner - Mental Health Counselor 7113411042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6497 Parkland Dr
Suite a
Sarasota, FL 34243-4097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH24820FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Solace Psychotherapy Mental Health CurrentSince Oct 5, 2025 Accepting new patients
Dr. Crosby and Associates, Inc. Mental Health CurrentSince Nov 17, 2025 Accepting new patients

Locations

6497 Parkland Dr
Ste A
Sarasota, FL 34243
Phone (941) 681-4040

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1215709399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 13TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362503",
            "telephone_number": "941-278-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 13TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362503",
            "telephone_number": "941-278-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAK",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.