MARK DEBENEDICTIS (NPI# 1932743747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932743747 |
| Entity Type | Individual |
| Full Name | MARK DEBENEDICTIS |
| Practice Address |
2789 Ortiz Ave Fort Myers FL 33905-7806 |
| Mailing Address |
3763 Evans Ave Fort Myers FL 33901-9302 |
| Practice Telephone | 2392753222 |
| Mailing Telephone | 2397911586 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2789 ORTIZ AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377402 | Debra Marie Danley | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2005-12-15 |
| 1043822109 | Bridget Gilmore | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-08-20 |
| 1104452465 | Marcela Checa | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-19 |
| 1982230371 | Johanna Mulvihill | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-17 |
| 1407480270 | Tatiana Chang | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1821622630 | Vanessa Mcnair | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1316571177 | Elizabeth Ann Ireland | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1780222125 | Melissa N Rodriguez | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-17 |
| 1588202352 | Heather Elizabeth Mossotti | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-12 |
| 1528604287 | Jean Patton | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413305 | Shantell Pepe | Counselor | 4310 Metro Pkwy Ste 200, Fort Myers, FL 33916-9462 | 2020-09-29 |
| 1548879091 | Linda Ann Weaver | Counselor | 12811 Kenwood Ln Ste 202-213, Fort Myers, FL 33907-5667 | 2020-07-29 |
| 1710502166 | Cornerstone Consultants | Counselor | 1344 Bradford Rd, Fort Myers, FL 33901-8804 | 2020-06-11 |
| 1053935981 | Timothy D Solomon | Counselor | 12557 New Brittany Blvd Ste 31-2, Fort Myers, FL 33907-3651 | 2020-06-06 |
| 1487275418 | Hofmann Counseling and Consulting, LLC. | Counselor | 8925 Beacon Street, Fort Myers, FL 33907-3390 | 2020-04-30 |
| 1760002927 | Angela Maria Molina | Counselor | 11932 Fairway Lakes Dr, Fort Myers, FL 33913-8337 | 2020-04-17 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1710512454 | Kelleen Marguerite Linden | Counselor | 12670 New Brittany Blvd Ste 204, Fort Myers, FL 33907-3650 | 2020-03-03 |
| 1194369355 | Mary Alice Robinson | Counselor | 4531 Deleon St Ste 206, Fort Myers, FL 33907-1280 | 2019-10-31 |
| 1942855580 | Susan Lee Bobrow | Counselor | 3049 Cleveland Ave Ste 295, Fort Myers, FL 33901-7054 | 2019-08-08 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on MARK DEBENEDICTIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.