Active NPI
Doug Maesk, LMHC
- Mental Health Counselor
- Oakland Park, FL
National Provider Identifier
1164517223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8760
- Practice address
- 102 Royal Park Dr
4F
Oakland Park, FL 33309-6551 - Phone
- (954) 676-5695
- Fax
- (954) 676-5695
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8760 | FL | Primary |
Addresses
Primary practice location
102 Royal Park Dr
4F
Oakland Park, FL 33309-6551
Mailing address
102 Royal Park Dr
4F
Oakland Park, FL 33309-6551
Phone (954) 676-5695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH8760 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1164517223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ROYAL PARK DR",
"address_2": "4F",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333096551",
"telephone_number": "954-676-5695",
"fax_number": "954-676-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ROYAL PARK DR",
"address_2": "4F",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333096551",
"telephone_number": "954-676-5695",
"fax_number": "954-676-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAESK",
"first_name": "DOUG",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.