Active NPI
Daniel Maxwell Rubin, LPC, LMHC
- Professional Counselor
- Wilton Manors, FL
National Provider Identifier
1245612761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH16831
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16831 | FL | MD | Professional Counselor |
| LPC008469 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Suwanee, GA
- NPI 1184090086
-
- Mental Health Counselor
- Wilton Manors, FL
- NPI 1356002513
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.