Individual provider Active NPI

William Ebert Flaxman II, MS, LMHC, NCC

  • Mental Health Counselor
  • Miami Beach, FL
National Provider Identifier
1831526433
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18723 Issued in FL
Practice address
1680 Michigan Ave Ste 912
Miami Beach, FL 33139-2550
Phone
(305) 534-0503
NPI assigned
Sep 27, 2013
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18723 FL Primary

Addresses

Primary practice location

1680 Michigan Ave Ste 912
Miami Beach, FL 33139-2550

Mailing address

1300 Washington Ave Unit 154
Miami Beach, FL 33119-2762
Phone (727) 313-7157

Other practice location 1

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (727) 313-7157

Other names 1

  • Mr. William Albert Ebert II Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322002805 FL Practitioner - Mental Health Counselor 5597102749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Care Resource Community Health Centers, Inc Current Accepting new patients
Care Resource Community Health Centers, Inc CurrentSince Feb 14, 2024 Accepting new patients
Care Resource Community Health Centers, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Boley Centers, Inc. Past Accepting new patients

Locations

3510 Biscayne Blvd
Miami, FL 33137
Phone 3055761234282

1680 Michigan Ave
Ste 912
Miami Beach, FL 33139
Phone (305) 534-0503

3160 Powerline Rd
Oakland Park, FL 33309
Phone (305) 773-7844

871 W Oakland Park Blvd
Wilton Manors, FL 33311
Phone (954) 567-7141

Interoperability endpoints

  • Direct secure messaging: william.flaxman.p1@direct.careresource.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1831526433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WASHINGTON AVE UNIT 154",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331192762",
            "telephone_number": "727-313-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE STE 912",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392550",
            "telephone_number": "305-534-0503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "727-313-7157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAXMAN",
        "first_name": "WILLIAM",
        "middle_name": "EBERT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "EBERT",
            "middle_name": "ALBERT",
            "prefix": "MR.",
            "suffix": "II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.