Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285412551 Individual Practitioner Male Practitioner

Max Walzer

Counselor - Mental Health • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Max Walzer is a registered healthcare professional specializing in Counselor - Mental Health in St Augustine, FL. Practice services are available at 495 PROSPERITY LAKE DR # 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

495 Prosperity Lake Dr # 101

St Augustine, FL 320925045

Telephone 9043703420
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
127 Specialists

Practicing in St Augustine, FL (23930 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-16
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Imani Kent

Counselor - Mental Health

NPI 1326844424
Olivia Agnew

Counselor - Mental Health

NPI 1326897216
Lauren Wood , LMHC, BCaBA

Counselor - Mental Health

NPI 1427322924

Licensed Mental Health Counselor, BCABA

NPI 1518702430

Master of Social Work, RCSWI

Breanna Mcmillan Conde , MS, LMHC

Counselor - Mental Health

NPI 1609566553

Master of Science, Licensed Mental Health Counselor

Kayla Allred , LMHC

Counselor - Mental Health

NPI 1760977953

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 16, 2025

Registered at 495 PROSPERITY LAKE DR # 101, ST AUGUSTINE, FL 320925045 (Tel: 9043703420)

📍
Updated Business Mailing Address January 16, 2025

Registered at 287 TIERRA CV, ST JOHNS, FL 322591204

📍
Updated Practice Location December 28, 2023

Registered at 1221 SW 5TH AVE, GAINESVILLE, FL 32601 (Tel: 0000000000)

📍
Updated Business Mailing Address December 28, 2023

Registered at 25 SW 5TH TER, GAINESVILLE, FL 326016219

NPI Profile Active September 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2023

Registered at 287 TIERRA CV, ST JOHNS, FL 322591204 (Tel: 9546216674)

📍
Updated Business Mailing Address September 18, 2023

Registered at 287 TIERRA CV, ST JOHNS, FL 322591204 (Tel: 9546216674)

👤
Provider Name / Credentials Updated September 18, 2023

Recorded as MAX WALZER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Counselor

🟢
Initial NPI Registration & Enumeration September 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285412551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2023
Last Update: January 16, 2025
Sole Proprietor: Yes

Mailing Address

287 Tierra Cv

St Johns, FL 322591204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.