Individual provider Active NPI

Daniel Maxwell Rubin, LPC, LMHC

  • Professional Counselor
  • Wilton Manors, FL
National Provider Identifier
1245612761
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH16831 Issued in FL
Practice address
1881 NE 26TH St Ste 201a
Wilton Manors, FL 33305-1427
Phone
(561) 262-3207
NPI assigned
Jun 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008469 GA
Professional Counselor 101YP2500X MH16831 FL Primary

Addresses

Primary practice location

1881 NE 26TH St Ste 201a
Wilton Manors, FL 33305-1427

Mailing address

1948 E Sunrise Blvd
Fort Lauderdale, FL 33304-1479
Phone (404) 759-0351

Other practice location 1

1948 E Sunrise Blvd
Fort Lauderdale, FL 33304-1479
Phone (404) 759-0351

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: No
  • 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
MH16831FLMDProfessional Counselor
LPC008469GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
RSL Counseling of South Florida LLC Current Accepting new patients
Rubin Counseling, LLC. Current Accepting new patients

Locations

3455 Lawrenceville Suwanee Rd
Ste D
Suwanee, GA 30024
Phone (404) 496-5041

Organizations & group practices 2

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": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1245612761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041479",
            "telephone_number": "404-759-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 201A",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051427",
            "telephone_number": "561-262-3207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1948 E Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333041479",
            "country_code": "US",
            "telephone_number": "404-759-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "DANIEL",
        "middle_name": "MAXWELL",
        "name_prefix": "Mr.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-20",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008469",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH16831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.