Active NPI
MK New Life
- Mental Health Counselor
- Sarasota, FL
National Provider Identifier
1447519913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9277
- Legal business name
- MK NEW LIFE
- Practice address
- 3800 S Tamiami TRL
Paradise Plaza Suite 305
Sarasota, FL 34239-6908 - Phone
- (941) 275-7966
- Fax
- (941) 429-7705
- NPI assigned
- May 3, 2012
- 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
- Ms. Masami Tanaka Kolbenschlag, LMHC
- Title
- President
- Phone
- (941) 275-7966
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9277 | FL | Primary |
Addresses
Primary practice location
3800 S Tamiami TRL
Paradise Plaza Suite 305
Sarasota, FL 34239-6908
Mailing address
3800 S Tamiami TRL
Paradise Plaza Suite 305
Sarasota, FL 34239-6908
Phone (941) 275-7966
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z148M | Other | FL | BCBSFL |
| 60054 | Other | FL | AETNA |
National Provider Directory
National Provider DirectoryLocations
3800 S Tamiami Trl
Unit 305
Sarasota, FL 34239
Phone (941) 275-7966
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Sarasota, FL
- NPI 1881879021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336003200000",
"number": "1447519913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S TAMIAMI TRL",
"address_2": "PARADISE PLAZA SUITE 305",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396908",
"telephone_number": "941-275-7966",
"fax_number": "941-429-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S TAMIAMI TRL",
"address_2": "PARADISE PLAZA SUITE 305",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396908",
"telephone_number": "941-275-7966",
"fax_number": "941-429-7705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MK NEW LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-03",
"last_updated": "2012-05-03",
"status": "A",
"authorized_official_last_name": "KOLBENSCHLAG",
"authorized_official_first_name": "MASAMI",
"authorized_official_middle_name": "TANAKA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-275-7966",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "Z148M",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "FL"
}
],
"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 May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.