Active NPI
William Ebert Flaxman II, MS, LMHC, NCC
- Mental Health Counselor
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18723
- 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, 2022
- 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 | 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Resource Community Health Centers, Inc | Current | Accepting new patients | |
| Care Resource Community Health Centers, Inc | Current | Accepting new patients | |
| Care Resource Community Health Centers, Inc. | Current | 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
- 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.
-
dba Care resource
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1053311373
-
- Federally Qualified Health Center (FQHC)
- Wilton Manors, FL
- NPI 1093717464
-
dba Care Resource Pharmacy Little Havana
- Community/Retail Pharmacy
- Miami, FL
- NPI 1164039798
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1194838839
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.