Individual provider Active NPI

Liza Jean Meyers

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1063300291
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH27980 Issued in FL
Practice address
12620 World Plaza LN Unit 1
Fort Myers, FL 33907-3996
Phone
(239) 826-3655
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH27980 FL Primary

Addresses

Primary practice location

12620 World Plaza LN Unit 1
Fort Myers, FL 33907-3996

Mailing address

5280 Summerlin Commons Way Ste 804
Fort Myers, FL 33907-2160

Other practice location 1

5280 Summerlin Commons Way Ste 804
Fort Myers, FL 33907-2160
Phone (239) 297-7099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH27980FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Art Therapy Services, LLC PastSince Jun 29, 2025 Accepting new patients

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1063300291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 SUMMERLIN COMMONS WAY STE 804",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 WORLD PLAZA LN UNIT 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073996",
            "telephone_number": "239-826-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5280 Summerlin Commons Way Ste 804",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339072160",
            "country_code": "US",
            "telephone_number": "239-297-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "LIZA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH27980",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.