Individual provider Active NPI

Elizabeth Ayebare, LMHC

  • Mental Health Counselor
  • Lantana, FL
National Provider Identifier
1144949017
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
660 S Dixie Hwy
Lantana, FL 33462-4607
Phone
(561) 619-5858
Fax
(561) 423-8228
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X IMH20059 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

660 S Dixie Hwy
Lantana, FL 33462-4607

Mailing address

660 S Dixie Hwy
Lantana, FL 33462-4607
Phone (561) 619-5858

Other practice location 1

2033 Wood St Ste 220
Sarasota, FL 34237-7927
Phone (941) 677-3366

Other identifiers 1

IdentifierTypeStateIssuer
MH21274OtherFLFLORIDA DEPARTMENT OF HEALTH

Other names 1

  • Elizabeth Ayebare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH20059FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Revitalizing Psychiatry PC PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1144949017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S DIXIE HWY",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624607",
            "telephone_number": "561-619-5858",
            "fax_number": "561-423-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S DIXIE HWY",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624607",
            "telephone_number": "561-619-5858",
            "fax_number": "561-423-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2033 Wood St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342377927",
            "country_code": "US",
            "telephone_number": "941-677-3366",
            "fax_number": "941-677-3367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYEBARE",
        "first_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20059",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "MH21274",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "AYEBARE",
            "credential": "IMH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.