Active NPI
Gazaria C Williams, LMHC CABA
- Mental Health Counselor
- Purchase, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20262
- Practice address
- 2 Manhattanville Rd
Purchase, NY 10577-2113 - Phone
- (888) 688-9296
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20260 | FL | |
| Behavior Analyst | 103K00000X | 0020535 | FL | |
| Mental Health Counselor | 101YM0800X | MH20262 | FL | Primary |
Addresses
Primary practice location
2 Manhattanville Rd
Purchase, NY 10577-2113
Mailing address
3414 Henry St
Melbourne, FL 32901-8017
Phone (321) 373-2384
Other practice location 1
2924 Davie Rd Ste 103
Davie, FL 33314-1615
Phone (855) 284-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2425 E Commercial Blvd
Suite 405
Fort Lauderdale, FL 33308-4029
Phone (754) 400-5514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20260 | FL | MD | Mental Health Counselor |
| 0020535 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Clinical - Florida Inc | Mental Health | Current | Accepting new patients |
Locations
2924 Davie Rd
Ste 103
Davie, FL 33314
Phone (786) 708-9562
2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514
4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
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.
-
- Mental Health Counselor
- Fort Lauderdale, FL
- NPI 1396360996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1760718415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 HENRY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018017",
"telephone_number": "321-373-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MANHATTANVILLE RD",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772113",
"telephone_number": "888-688-9296"
}
],
"practiceLocations": [
{
"address_1": "2924 Davie Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333141615",
"country_code": "US",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "GAZARIA",
"middle_name": "C",
"credential": "LMHC CABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "20260",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0020535",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.