MR. JED SHLACKMAN L.M.H.C.
NPI 1962650143
Counselor - Mental Health in Miami, FL

Q: What is Jed Shlackman's NPI number?

The NPI number for Jed Shlackman is 1962650143. It was assigned to this individual provider in the NPPES registry on August 30, 2008.

Q: What is Jed Shlackman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jed Shlackman was last updated on August 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2008

12965 SW 112TH AVE, MIAMI, FL 33176(305) 259-0013(305) 259-0013 Get Directions Write a Review

NPPES record last updated: August 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jed Shlackman L.m.h.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JED SHLACKMAN L.M.H.C. (NPI 1962650143) is an individual mental health provider in Miami, Florida, licensed in Florida (MH 5806) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1962650143

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JED SHLACKMANCredential: L.M.H.C.

Location Address12965 SW 112TH AVEMiami, FL 33176-4453

Mailing Address12965 Sw 112th AveMiami, FL 33176-4453 · (305) 259-0013 · Fax (305) 259-0013

Phone(305) 259-0013

Fax(305) 259-0013

Sole ProprietorYes

Enumeration DateAugust 30, 2008

✔ NPI 1962650143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH 5806

12965 SW 112TH AVE, Miami, FL 33176

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jed Shlackman's NPI number?

The NPI number for Jed Shlackman is 1962650143. It was assigned to this individual provider in the NPPES registry on August 30, 2008.

Where is Jed Shlackman located?

Jed Shlackman practices at 12965 SW 112th Ave, Miami, FL 33176. The listed phone number is (305) 259-0013.

What is Jed Shlackman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Jed Shlackman accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jed Shlackman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jed Shlackman was last updated on August 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.