William Adams, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 14593 Issued in FL

Practice address

460 Gerona Rd
St Augustine, FL 32086-6112

Phone

(904) 494-8393

NPI assigned

Nov 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 1Up Counseling Services

  • Mental Health Counselor
  • St Augustine, FL
  • NPI 1093593659

  FL, Mental Health

  Medicare reassignment NPD Authorized official
• Arc of Bradford County Inc

  • Developmentally Disabled Services Day Training Agency
  • Starke, FL
  • NPI 1821015777
  NPD (past)
• Clay Physical Therapy PA

  • Physical Therapist
  • Orange Park, FL
  • NPI 1902075914
  NPD (past)
• The Arc Jacksonville, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1558563619
  NPD (past)
• The Arc of Bradford County, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Starke, FL
  • NPI 1821278805
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1891237327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 GERONA RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866112",
            "telephone_number": "904-347-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GERONA RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866112",
            "telephone_number": "904-494-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 S Water St",
            "address_purpose": "LOCATION",
            "city": "Starke",
            "state": "FL",
            "postal_code": "320914506",
            "country_code": "US",
            "telephone_number": "904-964-7699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "WILLIAM",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 14593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH",
            "identifier": "MH 14593",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adams Acres, Inc.
• Julie Carole Adams, ARNP
• Keith Robert Adams, LMT, CRTT
• Rebekah Adams
• Tayler Rayanna Adams, PT, DPT
• Addiction and Intervention Professionals, LLC.
• Adio, Inc
• Kimburlie Anne Adkins, ARNP
• Michael G Adkison, M.D.
• Javier Francisco Aduen, M.D.

• All providers in St Augustine, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.