Active NPI
Paul Lazar
- Mental Health Counselor
- Lauderdale Lakes, FL
National Provider Identifier
1861718538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3500 N State Road 7 Ste 211
Lauderdale Lakes, FL 33319-5625 - Phone
- (954) 578-6604
- NPI assigned
- Apr 20, 2010
- Last updated
- Apr 20, 2010
- 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 | Primary |
Addresses
Primary practice location
3500 N State Road 7 Ste 211
Lauderdale Lakes, FL 33319-5625
Mailing address
500 S Surf Rd Unit 6
Hollywood, FL 33019-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50612 | Other | FL | FLORIDA CERTIFICATION BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1861718538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S SURF RD UNIT 6",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N STATE ROAD 7 STE 211",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195625",
"telephone_number": "954-578-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD",
"identifier": "50612",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.