Active NPI
Kinzie Counseling & Consultation LLC
- Clinical Social Worker
- Sarasota, FL
National Provider Identifier
1407072457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW1660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth M. Kinzie, MSW, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Sarasota, FL
- NPI 1104980499
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.