Organization Active NPI

Kinzie Counseling & Consultation LLC

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1407072457
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1660 Issued in FL
Legal business name
KINZIE COUNSELING & CONSULTATION LLC
Practice address
73 S Palm Ave
Ste 215
Sarasota, FL 34236-5638
Phone
(941) 374-3846
Fax
(941) 751-4885
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kenneth M. Kinzie, MSW, LCSWNPI 1104980499
Title
MGR
Phone
(941) 374-3846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW1660 FL Primary

Addresses

Primary practice location

73 S Palm Ave
Ste 215
Sarasota, FL 34236-5638

Mailing address

6620 Quonset Rd
Bradenton, FL 34203-9730
Phone (941) 374-3846

National Provider Directory

National Provider Directory

Locations

73 S Palm Ave
Ste 215
Sarasota, FL 34236
Phone (941) 320-0501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407072457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 QUONSET RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039730",
            "telephone_number": "941-374-3846",
            "fax_number": "941-751-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 S PALM AVE",
            "address_2": "STE 215",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365638",
            "telephone_number": "941-374-3846",
            "fax_number": "941-751-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINZIE COUNSELING & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINZIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "941-374-3846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.