Individual provider Active NPI

Maxine Lebowitz, PHD

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1952782385
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC 2218 Issued in FL
Practice address
320 E Adams St
Jacksonville, FL 32202-2817
Phone
(904) 894-3878
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC 2218 FL Primary
Marriage & Family Therapist 106H00000X LMFT 1293 FL

Addresses

Primary practice location

320 E Adams St
Jacksonville, FL 32202-2817

Mailing address

320 E Adams St
Jacksonville, FL 32202-2817

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
I20240812000024 FL Practitioner - Mental Health Counselor 7214475177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Global Behavioral MedicineGroup PAC ID 5890123285, 9 clinicians

Practice addresses (Care Compare)

6151 Miramar Pkwy
Suite 104
Miramar, FL 33023-3970
Phone (954) 554-3285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMHC 2218FLMDMental Health Counselor
LMFT 1293FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Behavioral Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

6151 Miramar Pkwy
Ste 104
Miramar, FL 33023
Phone (954) 554-3285

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1952782385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022817",
            "telephone_number": "904-894-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOWITZ",
        "first_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 2218",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "LMFT 1293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.