ISLAND LIFE MENTAL HEALTH LLC
NPI 1881175925
Clinic/Center - Mental Health (Including Community Mental Health Center) in Seminole, FL
About Island Life Mental Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND LIFE MENTAL HEALTH LLC (NPI 1881175925) is a healthcare organization registered as a mental health (including community mental health center) in Seminole, Florida and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Tampa and lists Tracey Sanderbeck, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Island Life Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Island Life Mental Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Island Life Mental Health LLC's NPI number?
The NPI number for Island Life Mental Health LLC is 1881175925. It was assigned to this organization in the NPPES registry on August 27, 2018.
Where is Island Life Mental Health LLC located?
Island Life Mental Health LLC is located at 8253 113th St, Seminole, FL 33772. The listed phone number is (727) 295-5050.
What is Island Life Mental Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Island Life Mental Health LLC enrolled in Medicare?
Yes. Island Life Mental Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Life Mental Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Island Life Mental Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Island Life Mental Health LLC was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Island Life Mental Health Llc · NPI 1881175925
Mental Health (Including Community Mental Health Center) organization in Seminole, Florida. Organization record, active in the CMS NPPES registry since August 27, 2018.
## Identity
- **NPI:** 1881175925 (Entity type: Organization)
- **Enumerated:** August 27, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Tracey Sanderbeck, PROVIDER
## Practice location
- **Address:** 8253 113TH ST, Seminole, FL 33772-4128
- **Phone:** (727) 295-5050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1881175925) · Data from the CMS NPPES public registry.