Active NPI
Jamie Gilles, LCSW
- Mental Health Counselor
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW10230
- Practice address
- 12550 New Brittany Blvd Ste 100
Fort Myers, FL 33907-3655 - Phone
- (239) 343-9180
- Fax
- (239) 343-9188
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10230 | FL | |
| Mental Health Counselor | 101YM0800X | SW10230 | FL | Primary |
Addresses
Primary practice location
12550 New Brittany Blvd Ste 100
Fort Myers, FL 33907-3655
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9180
Other practice location 1
6630 Orion Dr Ste 201
Fort Myers, FL 33912-4440
Phone (239) 343-1219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125193700 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206004929 | FL | Practitioner - Clinical Social Worker | 5092158089 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
6630 Orion Dr
Ste 201
Fort Myers, FL 33912
Phone (239) 343-1219
12550 New Brittany Blvd
Fort Myers, FL 33907
Phone (239) 343-9180
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
6630 Orion Dr
Fort Myers, FL 33912
Phone (239) 343-1219
12550 New Brittany Blvd
Ste 100
Fort Myers, FL 33907
Phone (239) 343-9180
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Networks
- Freedom Health HMO Network
Organizations & group practices 14
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.
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Community/Retail Pharmacy
- Estero, FL
- NPI 1114762630
-
- General Practice Physician
- Cape Coral, FL
- NPI 1346085636
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1366287880
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1427893932
-
- Skilled Nursing Facility
- Fort Myers, FL
- NPI 1669211058
-
- Skilled Nursing Facility
- Fort Myers, FL
- NPI 1700625183
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lee Health System Inc
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
19511 Highland Oaks Dr
Estero, FL 33928-9712
Phone (239) 468-0254
414 Cape Coral Pkwy E
Cape Coral, FL 33904-8522
650 Del Prado Blvd S
Cape Coral, FL 33990-5617
6630 Orion Dr
Suite 201
Fort Myers, FL 33912-4440
Phone (239) 343-1219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1003519265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9180",
"fax_number": "239-343-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 NEW BRITTANY BLVD STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073655",
"telephone_number": "239-343-9180",
"fax_number": "239-343-9188"
}
],
"practiceLocations": [
{
"address_1": "6630 Orion Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124440",
"country_code": "US",
"telephone_number": "239-343-1219",
"fax_number": "239-468-7945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLES",
"first_name": "JAMIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10230",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW10230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125193700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.