Individual provider Active NPI

Carl Maxwell Soelzer, LMHC

  • Mental Health Counselor
  • Gulf Breeze, FL
National Provider Identifier
1932124195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 8774 Issued in FL
Practice address
303 Bear Dr
Gulf Breeze, FL 32561-4217
Phone
(850) 450-0872
Fax
(850) 932-3310
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH 8774 FL Primary

Addresses

Primary practice location

303 Bear Dr
Gulf Breeze, FL 32561-4217

Mailing address

PO Box 1466
Gulf Breeze, FL 32562-1466
Phone (850) 450-0872

Other names 1

  • Mr. C. Maxwell Soelzer Professional name

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

State licenses

LicenseStateTypeSpecialty
MH 8774FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932124195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325621466",
            "telephone_number": "850-450-0872",
            "fax_number": "850-932-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BEAR DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614217",
            "telephone_number": "850-450-0872",
            "fax_number": "850-932-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOELZER",
        "first_name": "CARL",
        "middle_name": "MAXWELL",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "SOELZER",
            "middle_name": "MAXWELL",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.